The Dermatology And Skin Cancer Clinic Of Alaska
LBN: The Dermatology And Skin Cancer Clinic Of Alaska
The Dermatology And Skin Cancer Clinic Of Alaska is an health care organization with primary practice located at 180 E Beluga Ave , Soldotna AK 99669-8002. The organization recently has 7 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Clinical & Laboratory Dermatological Immunology, Allopathic & Osteopathic Physicians / Pediatric Dermatology, Allopathic & Osteopathic Physicians / Procedural Dermatology. Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery is the primary health care specialty.
The Dermatology And Skin Cancer Clinic Of Alaska can be contacted via phone (907) 262-7546, or through Cannava, Mathew M via phone (907) 262-7546.
Contact Information
Primary practice address
180 E Beluga Ave
Soldotna AK 99669-8002
Phone: (907) 262-7546
Fax: (907) 262-7599
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Specialist | 174400000X | ||
Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | ||
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | ||
Allopathic & Osteopathic Physicians / Dermatopathology | 207ND0900X | ||
Allopathic & Osteopathic Physicians / Clinical & Laboratory Dermatological Immunology | 207NI0002X | ||
Allopathic & Osteopathic Physicians / Pediatric Dermatology | 207NP0225X | ||
Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X |
Profile Details
NPI number | 1831227289 |
---|---|
LBN Legal business name | The Dermatology And Skin Cancer Clinic Of Alaska |
DBA Doing business as | |
Authorized official | Cannava, Mathew M Doctor of Medicine (MD) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Feb 28th, 2007 |
Last updated | Dec 6th, 2017 - about 8 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 | 1831227289 | NPPES |
Alaska | MEDICAID | MD16711 |
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