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:
Health care specialties
| Specialty | Code | License # | 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 17 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 | 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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