Ent R Net Pa

LBN: Ent R Net Pa
Ent R Net Pa is an health care organization with primary practice located at 4190 City Line Avenue Suite 526, Philadelphia PA 19131-1635. 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 Pa can be contacted via phone (215) 879-0060, or through Mauer, Theodore Paul via phone (215) 879-0060.

Contact Information

Primary practice address
4190 City Line Avenue Suite 526 Philadelphia PA 19131-1635
Phone: (215) 879-0060
Fax: (215) 879-0063
Website:
Map and Directions
Authorized official contact:
Name: Mauer, Theodore Paul Doctor of Osteopathy (DO)
Phone: (215) 879-0060

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X

Profile Details

NPI number 1811007487
LBN Legal business name Ent R Net Pa
DBA Doing business as
Authorized official Mauer, Theodore Paul Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 30th, 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 1811007487 NPPES
Pennsylvania Other 30723A KEYSTONE MERCY HEALTH PLA
Pennsylvania MEDICAID 0007250440006 KEYSTONE MERCY HEALTH PLA

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