Provident Ear Nose And Throat Llc

LBN: Provident Ear Nose And Throat Llc
Provident Ear Nose And Throat Llc is an health care organization with primary practice located at 101 S Venture Dr , Greenville SC 29615-3571. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as the primary health care specialty. Provident Ear Nose And Throat Llc can be contacted via phone (864) 232-4846, or through Greene, William Michael via phone (864) 284-9869.

Contact Information

Primary practice address
101 S Venture Dr Greenville SC 29615-3571
Phone: (864) 232-4846
Fax: (888) 451-9614
Website:
Map and Directions
Authorized official contact:
Name: Greene, William Michael Doctor of Medicine (MD)
Phone: (864) 284-9869

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 18523 South Carolina

Profile Details

NPI number 1922236074
LBN Legal business name Provident Ear Nose And Throat Llc
DBA Doing business as
Authorized official Greene, William Michael Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 29th, 2009
Last updated Dec 18th, 2014 - about 12 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 1922236074 NPPES
South Carolina MEDICAID T25960

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