Northshore Ent Clinic, Llc in Hammond - Otolaryngology
Northshore Ent Clinic, Llc - NPI 1811996069
Northshore Ent Clinic, Llc is a Otolaryngology in Hammond, Louisiana. Northshore Ent Clinic, Llc practices all healthcare services and medical treatments related to Otolaryngology. The NPI Number for Northshore Ent Clinic, Llc is 1811996069. The last update date is 2008-03-14.
Northshore Ent Clinic, Llc's current location address is 42401 Pelican Professional Park, Hammond, Louisiana. You can contact this provider via phone number 9855429155 and fax number 9855429133. The mailing address for Northshore Ent Clinic, Llc is 42401 Pelican Professional Park, Hammond, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Northshore Ent Clinic, Llc |
|---|---|
| Address | 42401 Pelican Professional Park, Hammond, Louisiana |
| Phone Number | 9855429155 |
| Fax Number | 9855429133 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Mellin R. Nancy |
| Credentials | M.D. |
| Telephone Number | 9855429155 |
NPI Number Detail
| NPI Number | 1811996069 |
|---|---|
| Provider Enumeration Date | 2005-07-19 |
| Last Updated Date | 2008-03-14 |
Provider Mailing Address Detail
| Address | 42401 Pelican Professional Park |
|---|---|
| City | Hammond |
| State | Louisiana (LA) |
| Post Code | 704032405 |
| Phone Number | 9855429155 |
| Fax Number | 9855429133 |
Provider's Primary Taxonomy Detail
| Speciality | Otolaryngology |
|---|---|
| Taxonomy | 207Y00000X |
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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 |
|---|---|---|---|
| 1449407 | LA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Northshore Ent Clinic, Llc by the Centers for Medicare & Medicaid Services (CMS)?
The Northshore Ent Clinic, Llc has been assigned the NPI (National Provider Identifier) 1811996069. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where Northshore Ent Clinic, Llc is geographically located?
The Northshore Ent Clinic, Llc is physically situated at the following location: 42401 Pelican Professional Park, Hammond, LA, 704032405.
What is the Northshore Ent Clinic, Llc's area of specialization and corresponding taxonomy classification?
The Northshore Ent Clinic, Llc's specialty field is Otolaryngology, and it falls under the taxonomy code 207Y00000X, which categorizes healthcare providers based on their specialties.
On what date did Northshore Ent Clinic, Llc receive its 1811996069 assignment from the Centers for Medicare & Medicaid Services?
The Northshore Ent Clinic, Llc was assigned its 1811996069 on 2005-07-19, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Northshore Ent Clinic, Llc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Northshore Ent Clinic, Llc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-03-14.