New Dermatology Group Ltd

LBN: New Dermatology Group Ltd
New Dermatology Group Ltd is an health care organization with primary practice located at 2021 S Webster Ave , Green Bay WI 54301-2257. The organization recently has 6 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Clinical & Laboratory Dermatological Immunology, Allopathic & Osteopathic Physicians / Pediatric Dermatology, Allopathic & Osteopathic Physicians / Procedural Dermatology. Allopathic & Osteopathic Physicians / Dermatology is the primary health care specialty. New Dermatology Group Ltd can be contacted via phone (920) 965-0345, or through Lewis, Kevan G via phone (920) 965-0345.

Contact Information

Primary practice address
2021 S Webster Ave Green Bay WI 54301-2257
Phone: (920) 965-0345
Fax: (920) 273-6011
Website:
Map and Directions
Authorized official contact:
Name: Lewis, Kevan G Doctor of Medicine (MD)
Phone: (920) 965-0345

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X
Allopathic & Osteopathic Physicians / Dermatopathology 207ND0900X
Allopathic & Osteopathic Physicians / Clinical & Laboratory Dermatological Immunology 207NI0002X
Allopathic & Osteopathic Physicians / Pediatric Dermatology 207NP0225X
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X

Profile Details

NPI number 1235480112
LBN Legal business name New Dermatology Group Ltd
DBA Doing business as
Authorized official Lewis, Kevan G Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 2nd, 2012
Last updated Dec 13th, 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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