Clearfield Jefferson Head And Neck Surgical Associates, Inc.

LBN: Clearfield Jefferson Head And Neck Surgical Associates, Inc.
Clearfield Jefferson Head And Neck Surgical Associates, Inc. is an health care organization with primary practice located at 871 Beaver Dr , Du Bois PA 15801-2511. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology, Speech, Language and Hearing Service Providers / Audiologist, Speech, Language and Hearing Service Providers / Hearing Instrument Specialist. Allopathic & Osteopathic Physicians / Otolaryngology is the primary health care specialty. Clearfield Jefferson Head And Neck Surgical Associates, Inc. can be contacted via phone (814) 375-0455, or through Roscoe, Gregory James via phone (814) 375-0455.

Contact Information

Primary practice address
871 Beaver Dr Du Bois PA 15801-2511
Phone: (814) 375-0455
Fax: (814) 375-2721
Website:
Map and Directions
Authorized official contact:
Name: Roscoe, Gregory James DMD, MD
Phone: (814) 375-0455

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X MD038440L Pennsylvania
Speech, Language and Hearing Service Providers / Audiologist 231H00000X AT006006 Pennsylvania
Speech, Language and Hearing Service Providers / Hearing Instrument Specialist 237700000X AT006006 Pennsylvania

Profile Details

NPI number 1235204611
LBN Legal business name Clearfield Jefferson Head And Neck Surgical Associates, Inc.
DBA Doing business as
Authorized official Roscoe, Gregory James DMD, MD
Entity Organization
Organization subpart 1 No
Enumeration date Nov 21st, 2006
Last updated Sep 10th, 2008 - 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 1235204611 NPPES
Pennsylvania MEDICAID 1007698100009
Pennsylvania Other 2036569
Pennsylvania Other 2038288
Pennsylvania Other 219994
Pennsylvania Other CL4582
Pennsylvania Other 3489
Pennsylvania Other 2031692

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