Southern Colorado Dermatology Clinic Pc

LBN: Southern Colorado Dermatology Clinic Pc
Southern Colorado Dermatology Clinic Pc is an health care organization with primary practice located at 900 Indiana Ave Ste C , Pueblo CO 81004-3767. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Southern Colorado Dermatology Clinic Pc can be contacted via phone (719) 564-5544, or through Nakamura, Krystal Jean via phone (719) 564-5544.

Contact Information

Primary practice address
900 Indiana Ave Ste C Pueblo CO 81004-3767
Phone: (719) 564-5544
Fax: (719) 564-2246
Website:
Map and Directions
Authorized official contact:
Name: Nakamura, Krystal Jean Doctor of Medicine (MD)
Phone: (719) 564-5544

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 44146 Colorado

Profile Details

NPI number 1548409139
LBN Legal business name Southern Colorado Dermatology Clinic Pc
DBA Doing business as
Authorized official Nakamura, Krystal Jean Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 5th, 2009
Last updated May 25th, 2021 - about 3 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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