Western Wisconsin Ear, Nose & Throat Center, S.C.

LBN: Western Wisconsin Ear, Nose & Throat Center, S.C.
Western Wisconsin Ear, Nose & Throat Center, S.C. is an health care organization with primary practice located at 2119 Heights Dr , Eau Claire WI 54701-6130. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as the primary health care specialty. Western Wisconsin Ear, Nose & Throat Center, S.C. can be contacted via phone (715) 831-0289, or through Crane, Richard T via phone (715) 831-0289.

Contact Information

Primary practice address
2119 Heights Dr Eau Claire WI 54701-6130
Fax: (715) 831-4722
Website:
Authorized official contact:
Name: Crane, Richard T Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 27186 Wisconsin

Profile Details

NPI number 1174535751
LBN Legal business name Western Wisconsin Ear, Nose & Throat Center, S.C.
DBA Doing business as
Authorized official Crane, Richard T Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 12th, 2006
Last updated Jan 13th, 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 1174535751 NPPES
Wisconsin MEDICAID 30834500

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