Skin Care Doctors, P.A. in Burnsville - Medical Specialty
Skin Care Doctors, P.A. - NPI 1851516397
Skin Care Doctors, P.A. is a Medical Specialty in Burnsville, Minnesota. Skin Care Doctors, P.A. practices all healthcare services and medical treatments related to Medical Specialty. The NPI Number for Skin Care Doctors, P.A. is 1851516397. The last update date is 2013-07-15.
Skin Care Doctors, P.A.'s current location address is 14000 Nicollet Ave Ste 304, Burnsville, Minnesota. You can contact this provider via phone number 9528981600 and fax number 9528982645. The mailing address for Skin Care Doctors, P.A. is 14000 Nicollet Ave Ste 304, Burnsville, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Skin Care Doctors, P.A. |
|---|---|
| Address | 14000 Nicollet Ave Ste 304, Burnsville, Minnesota |
| Phone Number | 9528981600 |
| Fax Number | 9528982645 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Ebertz J Michael |
| Credentials | M.D. |
| Telephone Number | 9528981600 |
NPI Number Detail
| NPI Number | 1851516397 |
|---|---|
| Provider Enumeration Date | 2007-04-17 |
| Last Updated Date | 2013-07-15 |
Provider Mailing Address Detail
| Address | 14000 Nicollet Ave Ste 304 |
|---|---|
| City | Burnsville |
| State | Minnesota (MN) |
| Post Code | 553375784 |
| Phone Number | 9528981600 |
| Fax Number | 9528982645 |
Provider's Primary Taxonomy Detail
| Speciality | Medical Specialty |
|---|---|
| Taxonomy | 261Qm2500X |
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Definition: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| C02848 | MN | MEDICARE PTAN | |
| CH6529 | MN | RAILROAD MEDICARE | |
| 57238 | MN | HEALTH PARTNERS | |
| E180 | MN | UCARE | |
| 09G0SK | MN | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Skin Care Doctors, P.A. by the Centers for Medicare & Medicaid Services?
The Skin Care Doctors, P.A. has been issued the NPI (National Provider Identifier) 1851516397, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Skin Care Doctors, P.A. is located?
The Skin Care Doctors, P.A. is situated at the following address: 14000 Nicollet Ave Ste 304, Burnsville, MN, 553375784.
What is Skin Care Doctors, P.A.'s area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Skin Care Doctors, P.A. is Medical Specialty, and the taxonomy code that categorizes this field of expertise is 261Qm2500X.
On what date did the Skin Care Doctors, P.A. receive the assignment of its 1851516397 from the Centers for Medicare & Medicaid Services?
The Skin Care Doctors, P.A. was issued its 1851516397 by the Centers for Medicare & Medicaid Services on 2007-04-17.
As of what date were the details pertaining to Skin Care Doctors, P.A. last refreshed?
The information related to the Skin Care Doctors, P.A., including its address, specialty, and other relevant details, was last updated on 2013-07-15.