Town Square Dermatology, Plc

LBN: Kimberly K. Schulz
Town Square Dermatology, Plc is an health care organization with primary practice located at 1100 6Th St Suite 202, Coralville IA 52241-1755. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Allopathic & Osteopathic Physicians / Dermatology is the primary health care specialty. Kimberly K. Schulz can be contacted via phone (319) 337-4566, or through Christianson, Robin Ann via phone (319) 337-4566.

Contact Information

Primary practice address
1100 6Th St Suite 202 Coralville IA 52241-1755
Phone: (319) 337-4566
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Christianson, Robin Ann
Phone: (319) 337-4566

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 32786 Iowa
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 31541 Iowa
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 001292 Iowa

Profile Details

NPI number 1952331605
LBN Legal business name Kimberly K. Schulz
DBA Doing business as Town Square Dermatology, Plc
Authorized official Christianson, Robin Ann
Entity Organization
Organization subpart 1 No
Enumeration date Jul 5th, 2006
Last updated Oct 12th, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952331605 NPPES
Iowa MEDICAID 0466557
Iowa Other 14-77506814
Iowa Other I20222
Iowa MEDICAID 2208108
Iowa MEDICAID 0497545
Iowa Other 12-25017718
Iowa Other 17-30128653
Iowa Other 18-11967219

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