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Contact Information

NORTHSHORE DERMATOLOGY, LLC
393 HIGHWAY 21 STE 550
MADISONVILLE, LA70447-3447
 Phone: 985-641-5198
 Fax: 866-755-7181
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for NORTHSHORE DERMATOLOGY, LLC

NPI # 1194479725
LBN Legal business name NORTHSHORE DERMATOLOGY, LLC
Authorized official ERIC TABOR - (AUTHORIZED OFFICIAL)
Entity Organization
Organization subpart 1 No
Enumeration date 02/11/2022
Last updated 06/10/2025 - About 12 months ago
Identifiers n/a
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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