Otolaryngology Associates Llc

LBN: Otolaryngology Associates Llc
Otolaryngology Associates Llc is an health care organization with primary practice located at 5508 E 16Th St Ste 14 Bldg C, Indianapolis IN 46218-4936. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as the primary health care specialty. Otolaryngology Associates Llc can be contacted via phone (317) 844-7059, or through Fairchild, Thomas H via phone (317) 844-7059.

Contact Information

Primary practice address
5508 E 16Th St Ste 14 Bldg C Indianapolis IN 46218-4936
Phone: (317) 844-7059
Fax: (317) 573-4352
Website:
Map and Directions
Authorized official contact:
Name: Fairchild, Thomas H Doctor of Medicine (MD)
Phone: (317) 844-7059

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X

Profile Details

NPI number 1639291271
LBN Legal business name Otolaryngology Associates Llc
DBA Doing business as
Authorized official Fairchild, Thomas H Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 4th, 2007
Last updated Jul 20th, 2010 - about 16 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 1639291271 NPPES
Indiana MEDICAID 100057100Q

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