Southern Indiana Ent, Llc

LBN: Southern Indiana Ent, Llc
Southern Indiana Ent, Llc is an health care organization with primary practice located at 1655 N Gladstone Ave Suite E, Columbus IN 47201-5392. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as the primary health care specialty. Southern Indiana Ent, Llc can be contacted via phone (812) 376-3071, or through Sanders, Anthony D via phone (812) 376-3071.

Contact Information

Primary practice address
1655 N Gladstone Ave Suite E Columbus IN 47201-5392
Phone: (812) 376-3071
Fax: (812) 378-5721
Website:
Map and Directions
Authorized official contact:
Name: Sanders, Anthony D Doctor of Medicine (MD)
Phone: (812) 376-3071

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X

Profile Details

NPI number 1013030618
LBN Legal business name Southern Indiana Ent, Llc
DBA Doing business as
Authorized official Sanders, Anthony D Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 9th, 2007
Last updated Feb 3rd, 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 1013030618 NPPES
Indiana MEDICAID 200337430

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