Jm Dermatology

LBN: Machuzak Dermatology Pllc
Jm Dermatology is an health care organization with primary practice located at 3198 N Windsong Dr , Prescott Valley AZ 86314-2239. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Machuzak Dermatology Pllc can be contacted via phone (928) 202-4143, or through Moreland, Debra via phone (480) 621-2070.

Contact Information

Primary practice address
3198 N Windsong Dr Prescott Valley AZ 86314-2239
Phone: (928) 202-4143
Fax: (928) 233-8917
Website:
Map and Directions
Authorized official contact:
Name: Moreland, Debra
Phone: (480) 621-2070

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1922564707
LBN Legal business name Machuzak Dermatology Pllc
DBA Doing business as Jm Dermatology
Authorized official Moreland, Debra
Entity Organization
Organization subpart 1 No
Enumeration date Feb 16th, 2019
Last updated May 23rd, 2019 - about 5 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 1922564707 NPPES
Arizona MEDICAID 453107

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