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Contact Information

STITLE DERMATOLOGY, LLC
92 S PARK BLVD
GREENWOOD, IN46143-8836
 Phone: 317-889-7546
 Fax: 317-889-2482
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for STITLE DERMATOLOGY, LLC

NPI Number 1174797443
LBN Legal business name STITLE DERMATOLOGY, LLC
Authorized official LAURA STITLE - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 04/17/2008
Last updated 03/21/2024 - About 2 years ago
Identifiers
IN License # 01056989A
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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