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Contact Information

DERMATOLOGY CLINIC OF MUNCIE, INC.
1808 W ROYALE DR
MUNCIE, IN47304-2243
 Phone: 765-288-8188
 Fax: 765-282-7242
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for DERMATOLOGY CLINIC OF MUNCIE INC · (Female)

NPI Number 1477647303
Status Active
Credentials
Entity Individual
Enumeration date 10/03/2006
Last updated 10/18/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • IN License # 50001481A
  • IN Medicaid 100105450
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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