Riva Aesthetic Dermatology, Pllc

LBN: Riva Aesthetic Dermatology, Pllc
Riva Aesthetic Dermatology, Pllc is an health care organization with primary practice located at 17039 Kenton Dr Suite 100, Cornelius NC 28031-5775. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Riva Aesthetic Dermatology, Pllc can be contacted via phone (704) 607-1518, or through Shafran, Kerry Mark via phone (704) 607-1518.

Contact Information

Primary practice address
17039 Kenton Dr Suite 100 Cornelius NC 28031-5775
Phone: (704) 607-1518
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Shafran, Kerry Mark Doctor of Medicine (MD)
Phone: (704) 607-1518

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 39997 North Carolina

Profile Details

NPI number 1285999490
LBN Legal business name Riva Aesthetic Dermatology, Pllc
DBA Doing business as
Authorized official Shafran, Kerry Mark Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 13th, 2012
Last updated Jul 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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