National Provider Identifier Database

DERMATOLOGY CENTER OF YUMA PLLC
Specialist

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.


Contact Information

DERMATOLOGY CENTER OF YUMA PLLC
2270 S RIDGEVIEW DR
STE 302
YUMA, AZ85364
Phone: 928-783-0169
Fax:
Website:
Specialty Taxonomy Code
* Specialist 174400000X

* Indicates primary specialty

NPI Profile & details for DERMATOLOGY CENTER OF YUMA PLLC

NPI Number 1346420577
Legal business name
LBN
DERMATOLOGY CENTER OF YUMA PLLC
Authorized official MARY ELLEN LUCHETTI - (PRESIDENT)
Entity Organization
Organization subpart Yes
Enumeration date 11/05/2007
Last updated 03/24/2009 - About 17 years ago
Sole proprietor1 Not specified
Identifiers
  • AZ License #: 28963
  • GA License #: 044009

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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