Skin Solutions Llc

LBN: Madison Dermatology Llc
Skin Solutions Llc is an health care organization with primary practice located at 122 Demaree Dr , Madison IN 47250-4622. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Procedural Dermatology, which is considered as the primary health care specialty. Madison Dermatology Llc can be contacted via phone (812) 265-9191, or through Rivera, Eduardo Gabriel via phone (812) 265-9191.

Contact Information

Primary practice address
122 Demaree Dr Madison IN 47250-4622
Phone: (812) 265-9191
Fax: (812) 265-1050
Website:
Map and Directions
Authorized official contact:
Name: Rivera, Eduardo Gabriel Doctor of Medicine (MD)
Phone: (812) 265-9191

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X

Profile Details

NPI number 1215007455
LBN Legal business name Madison Dermatology Llc
DBA Doing business as Skin Solutions Llc
Authorized official Rivera, Eduardo Gabriel Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 8th, 2006
Last updated Mar 27th, 2013 - about 11 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 1215007455 NPPES
Indiana Other 15D1048313 CLIA FOR COLUMBUS LOCATIO
Indiana Other 15D0952312 CLIA FOR COLUMBUS LOCATIO

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