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SEEBERGER DERMATOLOGY LLC NPI 1679242457


NPI Information

NPI: 1679242457
Provider Name: SEEBERGER DERMATOLOGY LLC

Doing Business As: ALAMOGORDO DERMATOLOGY

Classification: Licensed Practical Nurse - 164W00000X
Entity Type: Organization

CLIA Number: 32D2297414

Address:
1401 10TH ST STE C
ALAMOGORDO, NM
ZIP 88310
Phone: (575) 405-9886
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SEEBERGER DERMATOLOGY LLC is a licensed practical nurse in Alamogordo, NM. The provider is a licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. SEEBERGER DERMATOLOGY LLC NPI is 1679242457. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Alamogordo Dermatology.

The provider's business location address is:

1401 10TH ST STE C
ALAMOGORDO, NM
ZIP 88310-012
Phone: (575) 405-9886

The provider's authorized official is Robert Bonn Seeberger .
The authorized official title is Office Manager and has the following contact phone number (434) 841-8300.

The CLIA number assigned to this NPI record is 32D2297414 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/7/2021 and was last updated on 4/4/2024.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1164W00000XLicensed Practical NurseYes
2261QM1300XClinic/CenterMulti-SpecialtyNo

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.