Raleigh Capitol Ear, Nose, And Throat

LBN: Raleigh Capitol Ear, Nose, And Throat
Raleigh Capitol Ear, Nose, And Throat is an health care organization with primary practice located at 4600 Lake Boone Trl , Raleigh NC 27607-7528. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as the primary health care specialty. Raleigh Capitol Ear, Nose, And Throat can be contacted via phone (919) 787-1374, or through Clarkson, Mark W via phone (919) 787-7171.

Contact Information

Primary practice address
4600 Lake Boone Trl Raleigh NC 27607-7528
Phone: (919) 787-1374
Fax: (919) 420-2028
Website:
Map and Directions
Authorized official contact:
Name: Clarkson, Mark W Doctor of Medicine (MD)
Phone: (919) 787-7171

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X

Profile Details

NPI number 1902170442
LBN Legal business name Raleigh Capitol Ear, Nose, And Throat
DBA Doing business as
Authorized official Clarkson, Mark W Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 1st, 2012
Last updated Oct 6th, 2022 - about 4 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 1902170442 NPPES
North Carolina MEDICAID PE-YPU8T38FA

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