Ear, Nose And Throat Of Michiana P.C. in Granger - Specialist

Ear, Nose And Throat Of Michiana P.C. - NPI 1295726198

Ear, Nose And Throat Of Michiana P.C. is a Specialist in Granger, Indiana. Ear, Nose And Throat Of Michiana P.C. practices all healthcare services and medical treatments related to Specialist. The NPI Number for Ear, Nose And Throat Of Michiana P.C. is 1295726198. The last update date is 2015-03-30.

Ear, Nose And Throat Of Michiana P.C.'s current location address is 209 Florence Avenue, Granger, Indiana. You can contact this provider via phone number 5742461000 and fax number 5742464000. The mailing address for Ear, Nose And Throat Of Michiana P.C. is 209 Florence Avenue, Granger, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Organization Ear, Nose And Throat Of Michiana P.C.
Address 209 Florence Avenue, Granger, Indiana
Phone Number 5742461000
Fax Number 5742464000
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Campbell A David
Credentials MD
Telephone Number 5742461000

NPI Number Detail

NPI Number 1295726198
Provider Enumeration Date 2005-10-31
Last Updated Date 2015-03-30

Provider Mailing Address Detail

Address 209 Florence Avenue
City Granger
State Indiana (IN)
Post Code 465308048
Phone Number 5742461000
Fax Number 5742464000

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No 01035158A
Definition:
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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
200485700A IN --
200717560A IN FIRST STEPS-IN

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FAQs about Ear, Nose And Throat Of Michiana P.C.

What is the unique 10-digit identifier code issued to Ear, Nose And Throat Of Michiana P.C. by the Centers for Medicare & Medicaid Services?

The Ear, Nose And Throat Of Michiana P.C. has been assigned the NPI (National Provider Identifier) 1295726198 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please provide the complete street address where Ear, Nose And Throat Of Michiana P.C. is physically located?

The Ear, Nose And Throat Of Michiana P.C. is physically situated at the following address: 209 Florence Avenue, Granger, IN, 465308048.

What is Ear, Nose And Throat Of Michiana P.C.'s area of expertise and its corresponding taxonomy classification?

The Ear, Nose And Throat Of Michiana P.C.'s field of specialization is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their areas of practice.

On what date did the Ear, Nose And Throat Of Michiana P.C. receive the assignment of its 1295726198 from the Centers for Medicare & Medicaid Services?

The Ear, Nose And Throat Of Michiana P.C. was issued its 1295726198 by the Centers for Medicare & Medicaid Services on 2005-10-31.

As of what date was the information pertaining to Ear, Nose And Throat Of Michiana P.C., such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Ear, Nose And Throat Of Michiana P.C., including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2015-03-30.

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