South Charleston Dermatology Pllc

LBN: South Charleston Dermatology Pllc
South Charleston Dermatology Pllc is an health care organization with primary practice located at 4815 Kanawha Ave Sw , South Charleston WV 25309-1207. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. South Charleston Dermatology Pllc can be contacted via phone (304) 768-4567, or through Endicott, Michelle Leigh via phone (304) 768-4567.

Contact Information

Primary practice address
4815 Kanawha Ave Sw South Charleston WV 25309-1207
Phone: (304) 768-4567
Fax: (304) 768-2277
Website:
Map and Directions
Authorized official contact:
Name: Endicott, Michelle Leigh Doctor of Osteopathy (DO)
Phone: (304) 768-4567

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 2097 West Virginia

Profile Details

NPI number 1174604409
LBN Legal business name South Charleston Dermatology Pllc
DBA Doing business as
Authorized official Endicott, Michelle Leigh Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 17th, 2006
Last updated Dec 12th, 2011 - 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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