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SANFORD DERMATOLOGY NPI 1447619747


NPI Information

NPI: 1447619747
Provider Name: SANFORD DERMATOLOGY

Doing Business As: HANCOCK DERMATOLOGY

Classification: Clinic/Center - 261QM2500X
Entity Type: Organization

Specialization: Medical Specialty

CLIA Number: 15D2114069

Address:
400 W GREEN MEADOWS DR STE 110
GREENFIELD, IN
ZIP 46140
Phone: (317) 967-7921
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SANFORD DERMATOLOGY is a medical specialty clinic center in Greenfield, IN. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). SANFORD DERMATOLOGY NPI is 1447619747. The provider is registered as an organization entity type.
The provider Is Doing Business As Hancock Dermatology.

The provider's business location address is:

400 W GREEN MEADOWS DR STE 110
GREENFIELD, IN
ZIP 46140-205
Phone: (317) 967-7921
Fax: (317) 967-7122

The provider's authorized official is Lori Sanford .
The authorized official title is Managing Member and has the following contact phone number (317) 460-1775.

The CLIA number assigned to this NPI record is 15D2114069 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 2/15/2016 and was last updated on 2/11/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM2500XClinic/CenterMedical Specialty01072559AINDIANAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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