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Contact Information

SOUTHEASTERN INDIANA DERMATOLOGY LLC
955 N MICHIGAN AVE
STE 81
GREENSBURG, IN47240-1487
 Phone: 812-212-8797
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for SOUTHEASTERN INDIANA DERMATOLOGY LLC · (Female)

NPI # 1437441912
Status Active
Credentials
Entity Individual
Enumeration date 05/03/2011
Last updated 05/03/2011 - About 15 years ago
Sole proprietor 1 Not specified
Identifiers
  • IN License # 01063413A
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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