Ent Specialty Care

LBN: Ear Nose & Throat Specialty Care Of Minnesota Pa
Ent Specialty Care is an health care organization with primary practice located at 6099 Wayzata Blvd Ste 200 , St Louis Park MN 55416-5538. 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 Specialty Care Of Minnesota Pa can be contacted via phone (612) 871-1144, or through Jablonski, Marcy via phone (952) 236-1692.

Contact Information

Primary practice address
6099 Wayzata Blvd Ste 200 St Louis Park MN 55416-5538
Phone: (612) 871-1144
Fax: (612) 871-2012
Website:
Map and Directions
Authorized official contact:
Name: Jablonski, Marcy
Phone: (952) 236-1692

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X

Profile Details

NPI number 1336175744
LBN Legal business name Ear Nose & Throat Specialty Care Of Minnesota Pa
DBA Doing business as Ent Specialty Care
Authorized official Jablonski, Marcy
Entity Organization
Organization subpart 1 No
Enumeration date Jun 25th, 2006
Last updated Apr 26th, 2023 - about last year

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 1336175744 NPPES
Minnesota MEDICAID 234810100

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