Ear Nose & Throat Clinic Inc.

LBN: Ear Nose & Throat Clinic Inc.
Ear Nose & Throat Clinic Inc. is an health care organization with primary practice located at 1919 Lathrop St Suite 103, Fairbanks AK 99701-5937. 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 Clinic Inc. can be contacted via phone (907) 456-7768, or through Kim, Sam Y via phone (907) 456-7768.

Contact Information

Primary practice address
1919 Lathrop St Suite 103 Fairbanks AK 99701-5937
Phone: (907) 456-7768
Fax: (907) 456-4045
Website:
Map and Directions
Authorized official contact:
Name: Kim, Sam Y Doctor of Medicine (MD)
Phone: (907) 456-7768

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 83561 Alaska
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X

Profile Details

NPI number 1023179587
LBN Legal business name Ear Nose & Throat Clinic Inc.
DBA Doing business as
Authorized official Kim, Sam Y Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 12th, 2006
Last updated Dec 1st, 2022 - about 2 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1023179587 NPPES
Alaska MEDICAID 1020915

Popular Providers