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Contact Information

EVOLVE DERMATOLOGY
401 N 9TH ST
BISMARCK, ND58501-4530
 Phone: 701-712-4899
 Fax: 701-712-4225
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for EVOLVE DERMATOLOGY

NPI Number 1629541172
LBN Legal business name EVOLVE DERMATOLOGY
Authorized official JENNIFER TINKLER - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/08/2019
Last updated 11/19/2019 - About 7 years 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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