Associated Ear Nose And Throat Specialists, Pc in Valparaiso - Specialist
Associated Ear Nose And Throat Specialists, Pc - NPI 1487607768
Associated Ear Nose And Throat Specialists, Pc is a Specialist in Valparaiso, Indiana. Associated Ear Nose And Throat Specialists, Pc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Associated Ear Nose And Throat Specialists, Pc is 1487607768. The last update date is 2020-08-22.
Associated Ear Nose And Throat Specialists, Pc's current location address is 2802 Leonard Drive, Valparaiso, Indiana. You can contact this provider via phone number 2195310355 and fax number 2195487568. The mailing address for Associated Ear Nose And Throat Specialists, Pc is 2802 Leonard Drive, Valparaiso, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Associated Ear Nose And Throat Specialists, Pc |
|---|---|
| Address | 2802 Leonard Drive, Valparaiso, Indiana |
| Phone Number | 2195310355 |
| Fax Number | 2195487568 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Keenan J Michael |
| Credentials | MD |
| Telephone Number | 2195310355 |
NPI Number Detail
| NPI Number | 1487607768 |
|---|---|
| Provider Enumeration Date | 2006-05-18 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 2802 Leonard Drive |
|---|---|
| City | Valparaiso |
| State | Indiana (IN) |
| Post Code | 46383 |
| Phone Number | 2195310355 |
| Fax Number | 2195487568 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 50004650A |
|
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 |
|---|---|---|---|
| 200422380 | IN | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Associated Ear Nose And Throat Specialists, Pc by the Centers for Medicare & Medicaid Services?
The Associated Ear Nose And Throat Specialists, Pc has been assigned the NPI (National Provider Identifier) 1487607768 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Associated Ear Nose And Throat Specialists, Pc is located?
The Associated Ear Nose And Throat Specialists, Pc is situated at the following address: 2802 Leonard Drive, Valparaiso, IN, 46383.
What is Associated Ear Nose And Throat Specialists, Pc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Associated Ear Nose And Throat Specialists, Pc is Specialist, and the taxonomy code that categorizes this field of expertise is 174400000X.
On what date did the Associated Ear Nose And Throat Specialists, Pc receive the assignment of its 1487607768 from the Centers for Medicare & Medicaid Services?
The Associated Ear Nose And Throat Specialists, Pc was issued its 1487607768 by the Centers for Medicare & Medicaid Services on 2006-05-18.
When was the information pertaining to Associated Ear Nose And Throat Specialists, Pc most recently updated or revised?
The details related to Associated Ear Nose And Throat Specialists, Pc, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.