Sutton Dermatology Pllc
LBN: Sutton Dermatology Pllc
Sutton Dermatology Pllc is an health care organization with primary practice located at 650 S Shore Dr , Detroit Lakes MN 56501-4811. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery. Allopathic & Osteopathic Physicians / Dermatology is the primary health care specialty.
Sutton Dermatology Pllc can be contacted via phone (415) 802-1310, or through Beehler, Amanda via phone (415) 802-1310.
Contact Information
Primary practice address
650 S Shore Dr
Detroit Lakes MN 56501-4811
Phone: (415) 802-1310
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | ||
| Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X |
Profile Details
| NPI number | 1285416362 |
|---|---|
| LBN Legal business name | Sutton Dermatology Pllc |
| DBA Doing business as | |
| Authorized official | Beehler, Amanda Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 16th, 2023 |
| Last updated | Oct 16th, 2023 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285416362 | NPPES |
| Minnesota | Other | 56484 | STATE LICENSE |
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