Ear, Nose And Throat Associates Of Middle Tennessee, P.C.
LBN: Canonico Ear, Nose And Throat, P.C.
Ear, Nose And Throat Associates Of Middle Tennessee, P.C. is an health care organization with primary practice located at 507 Nw Atlantic St , Tullahoma TN 37388-3504. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck, which is considered as the primary health care specialty.
Canonico Ear, Nose And Throat, P.C. can be contacted via phone (931) 393-4332, or through Moyers, Tandie L via phone (931) 684-3504.
Contact Information
Primary practice address
507 Nw Atlantic St
Tullahoma TN 37388-3504
Phone: (931) 393-4332
Fax: (931) 393-2304
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck | 207YX0007X |
Profile Details
| NPI number | 1932177805 |
|---|---|
| LBN Legal business name | Canonico Ear, Nose And Throat, P.C. |
| DBA Doing business as | Ear, Nose And Throat Associates Of Middle Tennessee, P.C. |
| Authorized official | Moyers, Tandie L |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 8th, 2006 |
| Last updated | Apr 20th, 2021 - about 3 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 | 1932177805 | NPPES |
| Tennessee | Other | 4064287 | BLUECROSS BLUESHIELD |
| Tennessee | MEDICAID | 3710667 | BLUECROSS BLUESHIELD |
| Tennessee | Other | 3710667 | BLUECROSS BLUESHIELD |
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