New Ent Sc in Green Bay - Otolaryngology

New Ent Sc - NPI 1861691149

New Ent Sc is a Otolaryngology in Green Bay, Wisconsin. New Ent Sc practices all healthcare services and medical treatments related to Otolaryngology. The NPI Number for New Ent Sc is 1861691149. The last update date is 2010-11-03.

New Ent Sc's current location address is 923 Eliza St, Green Bay, Wisconsin. You can contact this provider via phone number 9209654800 and fax number 9204317024. The mailing address for New Ent Sc is 923 Eliza St, Green Bay, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Organization New Ent Sc
Address 923 Eliza St, Green Bay, Wisconsin
Phone Number 9209654800
Fax Number 9204317024
Sole Proprietor --
Credentials --

Authorized Official

Title or Position ADMINISTRA
Authorized Official Name Jilot Sally
Telephone Number 9209654800

NPI Number Detail

NPI Number 1861691149
Provider Enumeration Date 2007-07-16
Last Updated Date 2010-11-03

Provider Mailing Address Detail

Address 923 Eliza St
City Green Bay
State Wisconsin (WI)
Post Code 543013234
Phone Number 9209654800
Fax Number 9204317024

Provider's Primary Taxonomy Detail

Speciality Otolaryngology
Taxonomy 207Y00000X
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
4330670001 WI ADMINASTAR FEDERAL REGION
CJ2834 WI MEDICARE RR GROUP
32899300 WI WMAP GROUP
7105 WI MEDICARE GROUP

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FAQs about New Ent Sc

What is the unique 10-digit identification code assigned to New Ent Sc by the Centers for Medicare & Medicaid Services?

The New Ent Sc has been issued the NPI (National Provider Identifier) 1861691149, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where New Ent Sc is physically located?

The New Ent Sc is physically situated at the following address: 923 Eliza St, Green Bay, WI, 543013234.

What is the area of specialization for New Ent Sc, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for New Ent Sc is Otolaryngology, and the corresponding taxonomy code that categorizes this area of expertise is 207Y00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1861691149 to New Ent Sc?

The Centers for Medicare & Medicaid Services originally issued the 1861691149 to New Ent Sc on 2007-07-16.

When was the information regarding New Ent Sc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to New Ent Sc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2010-11-03.

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