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Contact Information

DAWES FRETZIN DERMATOLOGY GROUP, LLC
7910 N SHADELAND AVE
INDIANAPOLIS, IN46250-2041
 Phone: 317-516-5000
 Fax: 317-516-5146
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
 

Non-Pharmacy Dispensing Site

332900000X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for DAWES FRETZIN DERMATOLOGY GROUP, LLC

NPI Number 1932188331
LBN Legal business name DAWES FRETZIN DERMATOLOGY GROUP, LLC
Authorized official SCOTT FRETZIN - (MEMBER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/13/2006
Last updated 04/12/2019 - 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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