Bloomington Ent Pc

LBN: Bloomington Ent Pc
Bloomington Ent Pc is an health care organization with primary practice located at 1791 W 3Rd St , Bloomington IN 47404-5029. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as the primary health care specialty. Bloomington Ent Pc can be contacted via phone (812) 335-1300, or through Phillips, Jesse via phone (812) 335-1300.

Contact Information

Primary practice address
1791 W 3Rd St Bloomington IN 47404-5029
Phone: (812) 335-1300
Fax: (812) 335-0300
Website:
Map and Directions
Authorized official contact:
Name: Phillips, Jesse Doctor of Medicine (MD)
Phone: (812) 335-1300

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 01040385A Indiana

Profile Details

NPI number 1306816665
LBN Legal business name Bloomington Ent Pc
DBA Doing business as
Authorized official Phillips, Jesse Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 26th, 2006
Last updated Apr 15th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306816665 NPPES
Indiana Other 5818093 AETNA
Indiana Other 2440326 AETNA
Indiana Other 000000209641 AETNA
Indiana Other 546541P AETNA

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