On Site Dermatology Of North Carolina, Pllc

LBN: On Site Dermatology Of North Carolina, Pllc
On Site Dermatology Of North Carolina, Pllc is an health care organization with primary practice located at 3737 Glenwood Ave Ste 100 , Raleigh NC 27612-5515. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Allopathic & Osteopathic Physicians / Dermatology is the primary health care specialty. On Site Dermatology Of North Carolina, Pllc can be contacted via phone (877) 345-5300, or through Queen, Jeffrey D. via phone (561) 314-2000.

Contact Information

Primary practice address
3737 Glenwood Ave Ste 100 Raleigh NC 27612-5515
Phone: (877) 345-5300
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Queen, Jeffrey D.
Phone: (561) 314-2000

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1376957340
LBN Legal business name On Site Dermatology Of North Carolina, Pllc
DBA Doing business as
Authorized official Queen, Jeffrey D.
Entity Organization
Organization subpart 1 No
Enumeration date Jun 17th, 2014
Last updated Feb 1st, 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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