Southside Ear, Nose & Throat
LBN: Southside Head N Neck Surgery Professional Corp
Southside Ear, Nose & Throat is an health care organization with primary practice located at 930 South Ave. Suite 4B, Colonial Heights VA 23834. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as the primary health care specialty.
Southside Head N Neck Surgery Professional Corp can be contacted via phone (804) 504-0530, or through Cangcuesta, David via phone (804) 337-1110.
Contact Information
Primary practice address
930 South Ave. Suite 4B
Colonial Heights VA 23834
Phone: (804) 504-0530
Fax: (804) 504-0532
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 0101036702 | Virginia |
Profile Details
| NPI number | 1194803338 |
|---|---|
| LBN Legal business name | Southside Head N Neck Surgery Professional Corp |
| DBA Doing business as | Southside Ear, Nose & Throat |
| Authorized official | Cangcuesta, David Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 2nd, 2006 |
| Last updated | Jul 1st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194803338 | NPPES |
| Virginia | Other | 040009007 | MEDICARE RAILROAD |
| Virginia | Other | P00002082 | MEDICARE RAILROAD |
| Virginia | Other | 006555055 | MEDICARE RAILROAD |
| Virginia | Other | P00002088 | MEDICARE RAILROAD |
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