North Idaho Dermatology, P.A.

LBN: North Idaho Dermatology, P.A.
North Idaho Dermatology, P.A. is an health care organization with primary practice located at 2199 N Merritt Creek Loop , Coeur D Alene ID 83814-4949. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. North Idaho Dermatology, P.A. can be contacted via phone (208) 665-7546, or through Craig, Stephen D. via phone (208) 665-7546.

Contact Information

Primary practice address
2199 N Merritt Creek Loop Coeur D Alene ID 83814-4949
Phone: (208) 665-7546
Fax: (208) 667-4607
Website:
Map and Directions
Authorized official contact:
Name: Craig, Stephen D. Doctor of Medicine (MD)
Phone: (208) 665-7546

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X

Profile Details

NPI number 1215936638
LBN Legal business name North Idaho Dermatology, P.A.
DBA Doing business as
Authorized official Craig, Stephen D. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 18th, 2005
Last updated Jan 30th, 2019 - about 5 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 1215936638 NPPES
Idaho MEDICAID 003663100
Idaho MEDICAID 805487300
Idaho MEDICAID 805947800
Idaho MEDICAID 806523200

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