Burlington Ear Nose & Throat Clinic Pc

LBN: Burlington Ear Nose & Throat Clinic Pc
Burlington Ear Nose & Throat Clinic Pc is an health care organization with primary practice located at 1225 S Gear Ave Ste 255, West Burlington IA 52655-1687. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as the primary health care specialty. Burlington Ear Nose & Throat Clinic Pc can be contacted via phone (319) 752-2725, or through Henrich, Douglas Edwin via phone (319) 752-2725.

Contact Information

Primary practice address
1225 S Gear Ave Ste 255 West Burlington IA 52655-1687
Fax: (319) 753-1084
Website:
Authorized official contact:
Name: Henrich, Douglas Edwin Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 31549 / 34553 Iowa

Profile Details

NPI number 1326157140
LBN Legal business name Burlington Ear Nose & Throat Clinic Pc
DBA Doing business as
Authorized official Henrich, Douglas Edwin Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 29th, 2006
Last updated Feb 24th, 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 1326157140 NPPES
Iowa Other 06724 WELLMARK GROUP NUMBER
Iowa Other 1326157140 WELLMARK GROUP NUMBER
Iowa Other I5597 WELLMARK GROUP NUMBER

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