National Provider Identifier Database

DERMATOLOGY AND ENDOCRINOLOGY LLC
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

DERMATOLOGY AND ENDOCRINOLOGY LLC
1925 E ORMAN AVE
STE 115
PUEBLO, CO81004-3500
Phone: 719-564-4500
Fax: 719-564-0304
Website:
Specialty Taxonomy Code
* Dermatology 207N00000X
Endocrinology, Diabetes & Metabolism 207RE0101X

* Indicates primary specialty

NPI Profile & details for DERMATOLOGY AND ENDOCRINOLOGY LLC

NPI Number 1114999018
Legal business name
LBN
DERMATOLOGY AND ENDOCRINOLOGY LLC
Authorized official KIM DERNOVSEK - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 02/03/2006
Last updated 01/11/2016 - About 10 years ago
Sole proprietor1 Not specified
Identifiers
  • CO License #: 26083
  • CO License #: 26084
  • CO Medicaid: 96378352
  • CO Other: 1114999018 RAILROAD MEDICARE

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.

Reviews for DERMATOLOGY AND ENDOCRINOLOGY LLC

There are currently no reviews for DERMATOLOGY AND ENDOCRINOLOGY LLC


NPIdb - Home
v2.201