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Contact Information

DERMATOLOGY INC
875 AIRPORT PKWY
GREENWOOD, IN46143-1085
 Phone: 317-926-3739
 Fax: 317-921-7478
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for DERMATOLOGY INC · (Female)

NPI # 1053421610
Status Active
Credentials
Entity Individual
Enumeration date 08/30/2006
Last updated 04/22/2025 - More than a year ago
Sole proprietor 1 Not specified
Identifiers
  • IN Medicaid 100056130 A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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