Ent Surgical Group,Pc

LBN: Ent Surgical Group,Pc
Ent Surgical Group,Pc is an health care organization with primary practice located at 423 3Rd Ave Suite C, Kingston PA 18704-5809. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngic Allergy, which is considered as the primary health care specialty. Ent Surgical Group,Pc can be contacted via phone (570) 714-3434, or through Olenginski, Michael Anthony via phone (570) 714-3434.

Contact Information

Primary practice address
423 3Rd Ave Suite C Kingston PA 18704-5809
Fax: (570) 714-6355
Website:
Authorized official contact:
Name: Olenginski, Michael Anthony Doctor of Osteopathy (DO)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngic Allergy 207YX0602X

Profile Details

NPI number 1992722870
LBN Legal business name Ent Surgical Group,Pc
DBA Doing business as
Authorized official Olenginski, Michael Anthony Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 16th, 2006
Last updated Aug 22nd, 2020 - about 4 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 1992722870 NPPES
Pennsylvania MEDICAID 0006944850002

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