Moeller Dermatology

LBN: Moeller Dermatology
Moeller Dermatology is an health care organization with primary practice located at 1911 N Webb Rd , Wichita KS 67206-3405. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Moeller Dermatology can be contacted via phone (316) 682-7546, or through Bird, Sarah via phone (316) 682-7546.

Contact Information

Primary practice address
1911 N Webb Rd Wichita KS 67206-3405
Phone: (316) 682-7546
Fax: (316) 682-7554
Website:
Map and Directions
Authorized official contact:
Name: Bird, Sarah
Phone: (316) 682-7546

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 04-21795 Kansas

Profile Details

NPI number 1417955717
LBN Legal business name Moeller Dermatology
DBA Doing business as
Authorized official Bird, Sarah
Entity Organization
Organization subpart 1 No
Enumeration date Jul 11th, 2005
Last updated Jun 23rd, 2015 - about 10 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 1417955717 NPPES
Kansas MEDICAID 100397800C
Kansas MEDICAID 100407240A
Kansas MEDICAID 100205810B
Kansas MEDICAID 100396180A
Kansas MEDICAID 200252100C

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