King-Maceyko Dermatology Assoc Ltd

LBN: King-Maceyko Dermatology Assoc Ltd
King-Maceyko Dermatology Assoc Ltd is an health care organization with primary practice located at 572 Philadelphia St , Indiana PA 15701. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. King-Maceyko Dermatology Assoc Ltd can be contacted via phone (724) 349-7720, or through King, Sandra H via phone (814) 536-7045.

Contact Information

Primary practice address
572 Philadelphia St Indiana PA 15701
Phone: (724) 349-7720
Fax: (724) 349-8993
Website:
Map and Directions
Authorized official contact:
Name: King, Sandra H
Phone: (814) 536-7045

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X

Profile Details

NPI number 1316043748
LBN Legal business name King-Maceyko Dermatology Assoc Ltd
DBA Doing business as
Authorized official King, Sandra H
Entity Organization
Organization subpart 1 No
Enumeration date Sep 15th, 2006
Last updated Dec 19th, 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 1316043748 NPPES
Pennsylvania Other 723056 BLUE SHIELD

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