Fairmont Ent Associates Inc

LBN: Fairmont Ent Associates Inc
Fairmont Ent Associates Inc is an health care organization with primary practice located at 1712 Locust Ave , Fairmont WV 26554. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology, Suppliers / Hearing Aid Equipment. Allopathic & Osteopathic Physicians / Otolaryngology is the primary health care specialty. Fairmont Ent Associates Inc can be contacted via phone (304) 366-6157, or through Daristotle, Joedy L via phone (304) 366-6157.

Contact Information

Primary practice address
1712 Locust Ave Fairmont WV 26554
Phone: (304) 366-6157
Fax: (304) 366-0177
Website:
Map and Directions
Authorized official contact:
Name: Daristotle, Joedy L Doctor of Medicine (MD)
Phone: (304) 366-6157

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X WV14772 West Virginia
Suppliers / Hearing Aid Equipment 332S00000X 398 West Virginia

Profile Details

NPI number 1720055882
LBN Legal business name Fairmont Ent Associates Inc
DBA Doing business as
Authorized official Daristotle, Joedy L Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 7th, 2006
Last updated Oct 26th, 2012 - about 13 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 1720055882 NPPES
West Virginia MEDICAID 0008704000

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