Northern Indiana Dermatology And Skin Surgery Center

LBN: Northern Indiana Dermatology And Skin Surgery Center
Northern Indiana Dermatology And Skin Surgery Center is an health care organization with primary practice located at 3190 Lancer St , Portage IN 46368-4488. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, which is considered as the primary health care specialty. Northern Indiana Dermatology And Skin Surgery Center can be contacted via phone (219) 764-3600, or through Desai, Ruchik S via phone (219) 764-3600.

Contact Information

Primary practice address
3190 Lancer St Portage IN 46368-4488
Phone: (219) 764-3600
Fax: (219) 764-3661
Website:
Map and Directions
Authorized official contact:
Name: Desai, Ruchik S
Phone: (219) 764-3600

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X 207N00000X Indiana

Profile Details

NPI number 1639289093
LBN Legal business name Northern Indiana Dermatology And Skin Surgery Center
DBA Doing business as
Authorized official Desai, Ruchik S
Entity Organization
Organization subpart 1 No
Enumeration date Aug 30th, 2006
Last updated Aug 22nd, 2020 - about 4 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 1639289093 NPPES
Indiana Other 000000350979 ANTHEM

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