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Contact Information

VITALSKIN MEDICAL GROUP IL PLLC
2857 CHARLESTOWN RD STE 100
NEW ALBANY, IN47150-1998
 Phone: 812-944-7500
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for VITALSKIN MEDICAL GROUP IL PLLC

NPI # 1639812811
LBN Legal business name VITALSKIN MEDICAL GROUP IL PLLC
Authorized official DAN WIENS - (CHIEF FINANCIAL OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/15/2022
Last updated 08/12/2024 - More than a year 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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