Midwest Dermatology Clinic, P.C.

LBN: Midwest Dermatology Clinic, P.C.
Midwest Dermatology Clinic, P.C. is an health care organization with primary practice located at 4242 Farnam St Suite 360, Omaha NE 68131-2806. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Midwest Dermatology Clinic, P.C. can be contacted via phone (402) 552-2555, or through Rothermund, Theresa M via phone (402) 552-2568.

Contact Information

Primary practice address
4242 Farnam St Suite 360 Omaha NE 68131-2806
Phone: (402) 552-2555
Fax: (402) 552-2573
Website:
Map and Directions
Authorized official contact:
Name: Rothermund, Theresa M
Phone: (402) 552-2568

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X

Profile Details

NPI number 1568442572
LBN Legal business name Midwest Dermatology Clinic, P.C.
DBA Doing business as
Authorized official Rothermund, Theresa M
Entity Organization
Organization subpart 1 No
Enumeration date Jan 18th, 2006
Last updated Aug 22nd, 2020 - about 4 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 1568442572 NPPES
Nebraska Other CO3220 RAIL ROAD MEDICARE
Nebraska Other 2941 RAIL ROAD MEDICARE

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