Eastern Connecticut Ear, Nose & Throat Pc
LBN: Eastern Connecticut Ear, Nose & Throat Pc
Eastern Connecticut Ear, Nose & Throat Pc is an health care organization with primary practice located at 36 Watson St , Willimantic CT 06226-2122. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Facial Plastic Surgery, Allopathic & Osteopathic Physicians / Otolaryngic Allergy, Suppliers / Hearing Aid Equipment. Allopathic & Osteopathic Physicians / Otolaryngology is the primary health care specialty.
Eastern Connecticut Ear, Nose & Throat Pc can be contacted via phone (860) 456-0287, or through Tino, Debra via phone (860) 456-0287.
Contact Information
Primary practice address
36 Watson St
Willimantic CT 06226-2122
Phone: (860) 456-0287
Fax: (860) 456-3532
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | ||
| Allopathic & Osteopathic Physicians / Facial Plastic Surgery | 207YS0123X | ||
| Allopathic & Osteopathic Physicians / Otolaryngic Allergy | 207YX0602X | ||
| Suppliers / Hearing Aid Equipment | 332S00000X | 000208 | Connecticut |
Profile Details
| NPI number | 1861560922 |
|---|---|
| LBN Legal business name | Eastern Connecticut Ear, Nose & Throat Pc |
| DBA Doing business as | |
| Authorized official | Tino, Debra |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 30th, 2006 |
| Last updated | Feb 22nd, 2018 - about 6 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 | 1861560922 | NPPES |
| Connecticut | MEDICAID | 004170742 | |
| Connecticut | MEDICAID | 004054151 |
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