Ent R Net, P A

LBN: Ent R Net, P A
Ent R Net, P A is an health care organization with primary practice located at 4190 City Ave Suite 526, Philadelphia PA 19131-1626. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as the primary health care specialty. Ent R Net, P A can be contacted via phone (215) 879-0060, or through Mauer, Theodore via phone (215) 879-0060.

Contact Information

Primary practice address
4190 City Ave Suite 526 Philadelphia PA 19131-1626
Phone: (215) 879-0060
Fax: (215) 879-0063
Website:
Map and Directions
Authorized official contact:
Name: Mauer, Theodore Doctor of Osteopathy (DO)
Phone: (215) 879-0060

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X OS001941L Pennsylvania

Profile Details

NPI number 1043255540
LBN Legal business name Ent R Net, P A
DBA Doing business as
Authorized official Mauer, Theodore Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 18th, 2006
Last updated Aug 22nd, 2020 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043255540 NPPES
Pennsylvania Other 0170250000 INDEPENDENCE BLUE CROSS
Pennsylvania Other 183919 INDEPENDENCE BLUE CROSS
Pennsylvania Other 30723 INDEPENDENCE BLUE CROSS

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