Mid-Missouri Dermatologists, Inc

LBN: Mid-Missouri Dermatologists, Inc
Mid-Missouri Dermatologists, Inc is an health care organization with primary practice located at 1504 E Broadway , Columbia MO 65201-8077. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Mid-Missouri Dermatologists, Inc can be contacted via phone (573) 442-3565, or through Foote, Jerry Edward via phone (573) 442-3565.

Contact Information

Primary practice address
1504 E Broadway Columbia MO 65201-8077
Phone: (573) 442-3565
Fax: (573) 443-2172
Website:
Map and Directions
Authorized official contact:
Name: Foote, Jerry Edward Doctor of Medicine (MD)
Phone: (573) 442-3565

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 30179 Missouri

Profile Details

NPI number 1619302957
LBN Legal business name Mid-Missouri Dermatologists, Inc
DBA Doing business as
Authorized official Foote, Jerry Edward Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 5th, 2013
Last updated Sep 5th, 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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