MANISTEE DERMATOLOGY – NPI #1093913204
Legal Medicine

The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections.

MANISTEE DERMATOLOGY is a provider located in MANISTEE, MI. NPPES has assigned the NPI number 1093913204 to MANISTEE DERMATOLOGY on July 10, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 173000000X from the Health Care Provider Taxonomy code set, which is classified as Legal Medicine.

The NPI profile was previously updated about 14 years ago on Feb 10, 2012. See the complete NPI profile for MANISTEE DERMATOLOGY below.

NPI Profile for
MANISTEE DERMATOLOGY

NPI Number
1093913204
Enumeration Date

(about 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MANISTEE DERMATOLOGY
Primary location
1293 E PARKDALE AVE
SUITE 2500
MANISTEE, MI 49660-8904
Phone: (231) 398-1700 Fax: (231) 398-1709
Mailing address
2138 RELIABLE PKWY
CHICAGO, IL 60686-0001
Phone: (231) 398-1700 Fax: (231) 398-1709
Organization Subpart
No
Authorized Official
STEPHANIE NEIDER
DOCTOR
Phone: (231) 398-1700
Updated
Identifiers

Identifiers for MANISTEE DERMATOLOGY

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDMI104819846
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
173000000X
- Legal Medicine (Primary)
MI 4301086785

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.