Carolinas Ear Nose & Throat Center
LBN: Carolinas Ear Nose & Throat Center
Carolinas Ear Nose & Throat Center is an health care organization with primary practice located at 14 Medical Center Drive , Supply NC 28462-3350. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Otology & Neurotology, which is considered as the primary health care specialty.
Carolinas Ear Nose & Throat Center can be contacted via phone (910) 754-2920, or through Lizak, Mark Anthony via phone (910) 754-2920.
Contact Information
Primary practice address
14 Medical Center Drive
Supply NC 28462-3350
Phone: (910) 754-2920
Fax: (910) 754-2268
Website:
Authorized official contact:
Name: Lizak, Mark Anthony Doctor of Medicine (MD)
Phone: (910) 754-2920
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otology & Neurotology | 207YX0901X | 35160 | North Carolina |
Profile Details
| NPI number | 1699782334 |
|---|---|
| LBN Legal business name | Carolinas Ear Nose & Throat Center |
| DBA Doing business as | |
| Authorized official | Lizak, Mark Anthony Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 2nd, 2006 |
| Last updated | Jul 24th, 2010 - about 15 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 | 1699782334 | NPPES |
| North Carolina | Other | 0295N | BCBS NC |
| North Carolina | MEDICAID | 8952324 | BCBS NC |
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