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APPLEGARTH DERMATOLOGY PC NPI 1619010626


NPI Information

NPI: 1619010626
Provider Name: APPLEGARTH DERMATOLOGY PC
Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 15D0948583

Address:
1861 S STURDY RD
VALPARAISO, IN
ZIP 46383
Phone: (219) 548-0360
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APPLEGARTH DERMATOLOGY PC is a specialist in Valparaiso, IN. The provider is 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. APPLEGARTH DERMATOLOGY PC NPI is 1619010626. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1861 S STURDY RD
VALPARAISO, IN
ZIP 46383
Phone: (219) 548-0360
Fax: (219) 548-0358

The provider's authorized official is William G Applegarth .
The authorized official title is President and has the following contact phone number (219) 548-0360.

The CLIA number assigned to this NPI record is 15D0948583 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 2/15/2007 and was last updated on 8/22/2020.


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
1174400000XSpecialist01039449AINDIANAYes

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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