Ear Nose & Throat Assc Of Charl Inc
LBN: Ear Nose & Throat Assc Of Charl Inc
Ear Nose & Throat Assc Of Charl Inc is an health care organization with primary practice located at 500 Donnally St Suite 200, Charleston WV 25301-1648. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as the primary health care specialty.
Ear Nose & Throat Assc Of Charl Inc can be contacted via phone (304) 342-0124, or through Sporck, Frederick Thomas via phone (304) 340-2225.
Contact Information
Primary practice address
500 Donnally St Suite 200
Charleston WV 25301-1648
Phone: (304) 342-0124
Fax: (304) 340-2204
Website:
Authorized official contact:
Name: Sporck, Frederick Thomas Doctor of Medicine (MD)
Phone: (304) 340-2225
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | West Virginia |
Profile Details
| NPI number | 1295735850 |
|---|---|
| LBN Legal business name | Ear Nose & Throat Assc Of Charl Inc |
| DBA Doing business as | |
| Authorized official | Sporck, Frederick Thomas Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 26th, 2005 |
| Last updated | Jul 21st, 2022 - 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 | 1295735850 | NPPES |
| West Virginia | MEDICAID | 0008888000 | |
| West Virginia | Other | CA7089 | |
| West Virginia | Other | 0778148001 |
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