Dermatology Clinic Of Idaho

LBN: Mountain West Derm-Blackhart, Pllc
Dermatology Clinic Of Idaho is an health care organization with primary practice located at 7733 W Emerald St , Boise ID 83704-9020. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Mountain West Derm-Blackhart, Pllc can be contacted via phone (208) 939-4599, or through Blackhart, Bret S via phone (775) 336-3624.

Contact Information

Primary practice address
7733 W Emerald St Boise ID 83704-9020
Phone: (208) 939-4599
Fax: (208) 939-5010
Website:
Map and Directions
Authorized official contact:
Name: Blackhart, Bret S Doctor of Medicine (MD)
Phone: (775) 336-3624

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X

Profile Details

NPI number 1548758501
LBN Legal business name Mountain West Derm-Blackhart, Pllc
DBA Doing business as Dermatology Clinic Of Idaho
Authorized official Blackhart, Bret S Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Apr 25th, 2018
Last updated Apr 25th, 2018 - about 7 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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