Manistee Dermatology

LBN: Manistee Dermatology
Manistee Dermatology is an health care organization with primary practice located at 1293 E Parkdale Ave Suite 2500, Manistee MI 49660-8904. The organization recently has only one registered license in Other Service Providers / Legal Medicine, which is considered as the primary health care specialty. Manistee Dermatology can be contacted via phone (231) 398-1700, or through Neider, Stephanie Dawn via phone (231) 398-1700.

Contact Information

Primary practice address
1293 E Parkdale Ave Suite 2500 Manistee MI 49660-8904
Phone: (231) 398-1700
Fax: (231) 398-1709
Website:
Map and Directions
Authorized official contact:
Name: Neider, Stephanie Dawn Doctor of Medicine (MD)
Phone: (231) 398-1700

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Legal Medicine 173000000X 4301086785 Michigan

Profile Details

NPI number 1093913204
LBN Legal business name Manistee Dermatology
DBA Doing business as
Authorized official Neider, Stephanie Dawn Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 10th, 2007
Last updated Feb 10th, 2012 - about 13 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 1093913204 NPPES
Michigan MEDICAID 104819846

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