National Provider Identifier Database

SHELBY DERMATOLOGY PC
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

SHELBY DERMATOLOGY, PC
1022 1ST STREET NORTH
SUITE 201
ALABASTER, AL35007
Phone: 205-621-9500
Fax:
Website:
Specialty Taxonomy Code
* Specialist 174400000X

* Indicates primary specialty

NPI Profile & details for SHELBY DERMATOLOGY, PC

NPI Number 1740375856
Legal business name
LBN
SHELBY DERMATOLOGY, PC
Authorized official ROBERT HENDERSON - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 10/04/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • AL License #: 00025681
  • AL Other: 51532549 BCBS

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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