New Dermatology Group Ltd

LBN: New Dermatology Group Ltd
New Dermatology Group Ltd is an health care organization with primary practice located at 1747 Shawano Ave , Green Bay WI 54303-3243. The organization recently has 5 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 / 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 via phone (920) 965-0345.

Contact Information

Primary practice address
1747 Shawano Ave Green Bay WI 54303-3243
Phone: (920) 965-0345
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Lewis, Kevan
Phone: (920) 965-0345

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 53110-20 Wisconsin
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X 53110-20 Wisconsin
Allopathic & Osteopathic Physicians / Dermatopathology 207ND0900X 53110-20 Wisconsin
Allopathic & Osteopathic Physicians / Clinical & Laboratory Dermatological Immunology 207NI0002X 53110-20 Wisconsin
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X 53110-20 Wisconsin

Profile Details

NPI number 1356784334
LBN Legal business name New Dermatology Group Ltd
DBA Doing business as
Authorized official Lewis, Kevan
Entity Organization
Organization subpart 1 No
Enumeration date Apr 9th, 2013
Last updated Apr 9th, 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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