National Provider Identifier Database

BLOOMINGTON DERMATOLOGY CLINIC
Dermatology

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.


Contact Information

BLOOMINGTON DERMATOLOGY CLINIC
2001 E 3RD ST
BLOOMINGTON, IN47401-7890
Phone: 812-333-0398
Fax: 812-333-0698
Website:
Specialty Taxonomy Code
* Dermatology 207N00000X

* Indicates primary specialty

NPI Profile & details for BLOOMINGTON DERMATOLOGY CLINIC

NPI Number 1003914920
Legal business name
LBN
BLOOMINGTON DERMATOLOGY CLINIC
Authorized official SCOTT WILHELMUS - (C.E.O.)
Entity Organization
Organization subpart No
Enumeration date 09/21/2006
Last updated 05/21/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • IN License #: 01042083A
  • Other: $$$$$$$$$ SOCIAL SECURITY NUMBER
  • IN Other: 000000090314 ANTHEM

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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