Jackson Ent Clinic , Psc
LBN: Jackson Ent Clinic , Psc
Jackson Ent Clinic , Psc is an health care organization with primary practice located at 1550 Highway 15 S Ste 29 , Jackson KY 41339-9221. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, Allopathic & Osteopathic Physicians / Otolaryngology. Allopathic & Osteopathic Physicians / Otolaryngology is the primary health care specialty.
Jackson Ent Clinic , Psc can be contacted via phone (606) 666-9909, or through Sartawi, Tariq A via phone (606) 666-9909.
Contact Information
Primary practice address
1550 Highway 15 S Ste 29
Jackson KY 41339-9221
Phone: (606) 666-9909
Fax: (606) 666-9982
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery | 204E00000X | 36227 | Kentucky |
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 36227 | Kentucky |
Profile Details
| NPI number | 1831225465 |
|---|---|
| LBN Legal business name | Jackson Ent Clinic , Psc |
| DBA Doing business as | |
| Authorized official | Sartawi, Tariq A Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 26th, 2007 |
| Last updated | Nov 14th, 2008 - about 17 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 | 1831225465 | NPPES |
| Kentucky | MEDICAID | SA64023724 |
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