Sandra Lynn Ettema in Mattoon - Otolaryngology
Sandra Lynn Ettema - NPI 1760577902
Sandra Lynn Ettema is a Otolaryngology in Mattoon, Illinois. Sandra Lynn Ettema practices all healthcare services and medical treatments related to Otolaryngology. The NPI Number for Sandra Lynn Ettema is 1760577902. The last update date is 2023-12-04.
Sandra Lynn Ettema's current location address is 1000 Health Center Dr Ste 401, Mattoon, Illinois. You can contact this provider via phone number 2172582409. The mailing address for Sandra Lynn Ettema is 1000 Health Center Dr Ste 401, Mattoon, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sandra Lynn Ettema |
|---|---|
| Address | 1000 Health Center Dr Ste 401, Mattoon, Illinois |
| Phone Number | 2172582409 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D., PH.D |
NPI Number Detail
| NPI Number | 1760577902 |
|---|---|
| Provider Enumeration Date | 2006-10-04 |
| Last Updated Date | 2023-12-04 |
Provider Mailing Address Detail
| Address | 1000 Health Center Dr Ste 401 |
|---|---|
| City | Mattoon |
| State | Illinois (IL) |
| Post Code | 619384648 |
| Phone Number | 2172582409 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Otolaryngology |
|---|---|
| Taxonomy | 207Y00000X |
| Licence No | 36.11846 |
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Definition: An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head an |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36118460 | IL | -- |
Post Comment/ Review Below
What is the Sandra Lynn Ettema's 1760577902?
The Sandra Lynn Ettema's NPI (National Provider Identifier) Number is 1760577902. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Sandra Lynn Ettema is located?
The Sandra Lynn Ettema is situated at the following address: 1000 Health Center Dr Ste 401, Mattoon, IL, 619384648.
What is Sandra Lynn Ettema's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Sandra Lynn Ettema is Otolaryngology, and the taxonomy code that categorizes this field of expertise is 207Y00000X.
On what date did Sandra Lynn Ettema receive its 1760577902 assignment from the Centers for Medicare & Medicaid Services?
The Sandra Lynn Ettema was assigned its 1760577902 on 2006-10-04, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Sandra Lynn Ettema most recently updated or refreshed?
The details pertaining to the Sandra Lynn Ettema, including its address, specialty, and other relevant information, were last updated or refreshed on 2023-12-04.