Ear Clinic Of Indiana Llc
LBN: Ear Clinic Of Indiana Llc
Ear Clinic Of Indiana Llc is an health care organization with primary practice located at 9604 Coldwater Rd Ste 101 , Fort Wayne IN 46825-2096. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty.
Ear Clinic Of Indiana Llc can be contacted via phone (260) 387-5820, or through Disher, Michael J via phone (260) 414-4882.
Contact Information
Primary practice address
9604 Coldwater Rd Ste 101
Fort Wayne IN 46825-2096
Phone: (260) 387-5820
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 01044624 | Indiana |
Profile Details
| NPI number | 1497055099 |
|---|---|
| LBN Legal business name | Ear Clinic Of Indiana Llc |
| DBA Doing business as | |
| Authorized official | Disher, Michael J Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 28th, 2010 |
| Last updated | Mar 17th, 2018 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497055099 | NPPES |
| Indiana | MEDICAID | 201005050 |
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