Rockford Dermatology Sc in Rockford - Procedural Dermatology
Rockford Dermatology Sc - NPI 1487751335
Rockford Dermatology Sc is a Procedural Dermatology in Rockford, Illinois. Rockford Dermatology Sc practices all healthcare services and medical treatments related to Procedural Dermatology. The NPI Number for Rockford Dermatology Sc is 1487751335. The last update date is 2018-02-19.
Rockford Dermatology Sc's current location address is 4338 Morsay Dr, Rockford, Illinois. You can contact this provider via phone number 8153996400 and fax number 8153994424. The mailing address for Rockford Dermatology Sc is 4338 Morsay Dr, Rockford, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Rockford Dermatology Sc |
|---|---|
| Address | 4338 Morsay Dr, Rockford, Illinois |
| Phone Number | 8153996400 |
| Fax Number | 8153994424 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Coates Michelle Lakimerly |
| Credentials | MD |
| Telephone Number | 8153996400 |
NPI Number Detail
| NPI Number | 1487751335 |
|---|---|
| Provider Enumeration Date | 2006-09-20 |
| Last Updated Date | 2018-02-19 |
Provider Mailing Address Detail
| Address | 4338 Morsay Dr |
|---|---|
| City | Rockford |
| State | Illinois (IL) |
| Post Code | 611074877 |
| Phone Number | 8153996400 |
| Fax Number | 8153994424 |
Provider's Primary Taxonomy Detail
| Speciality | Procedural Dermatology |
|---|---|
| Taxonomy | 207Ns0135X |
| Licence No | 42617821 |
|
Definition: Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surge |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36102903 | IL | -- | |
| 7847308 | AETNA | ||
| 203521 | IL | MEDICARE GROUP # | |
| 10132043 | IL | BLUE CROSS BLUE SHIELD |
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What is the unique 10-digit identifier code issued to Rockford Dermatology Sc by the Centers for Medicare & Medicaid Services?
The Rockford Dermatology Sc has been assigned the NPI (National Provider Identifier) 1487751335 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Rockford Dermatology Sc's physical address?
The Rockford Dermatology Sc is physically located at 4338 Morsay Dr, in the city of Rockford, IL, with the postal code 611074877.
What is the Rockford Dermatology Sc's specialty and taxonomy code?
The Rockford Dermatology Sc's specialty is Procedural Dermatology, and the corresponding taxonomy code is 207Ns0135X.
On what date did Rockford Dermatology Sc receive its 1487751335 assignment from the Centers for Medicare & Medicaid Services?
The Rockford Dermatology Sc was assigned its 1487751335 on 2006-09-20, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Rockford Dermatology Sc last refreshed?
The information related to the Rockford Dermatology Sc, including its address, specialty, and other relevant details, was last updated on 2018-02-19.