Airway Anesthesia Pc

LBN: Airway Anesthesia Pc
Airway Anesthesia Pc is an health care organization with primary practice located at 1105 Sterling Glen Cc Ct , Normal IL 61761-5297. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as the primary health care specialty. Airway Anesthesia Pc can be contacted via phone (309) 454-4617, or through Chenoweth, Daryl D via phone (309) 454-4617.

Contact Information

Primary practice address
1105 Sterling Glen Cc Ct Normal IL 61761-5297
Phone: (309) 454-4617
Fax: (877) 757-6325
Website:
Map and Directions
Authorized official contact:
Name: Chenoweth, Daryl D Certified Registered Nurse Anesthetist (CRNA)
Phone: (309) 454-4617

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 209-001108 Illinois

Profile Details

NPI number 1992064166
LBN Legal business name Airway Anesthesia Pc
DBA Doing business as
Authorized official Chenoweth, Daryl D Certified Registered Nurse Anesthetist (CRNA)
Entity Organization
Organization subpart 1 No
Enumeration date May 9th, 2012
Last updated Apr 30th, 2015 - about 9 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 1992064166 NPPES
Illinois Other 617834300 DEPT OF LABOR

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