Kent Otolaryngology Associates, P.C.

LBN: Kent Otolaryngology Associates, P.C.
Kent Otolaryngology Associates, P.C. is an health care organization with primary practice located at 222 Fulton St E , Grand Rapids MI 49503-3211. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as the primary health care specialty. Kent Otolaryngology Associates, P.C. can be contacted via phone (616) 459-7455, or through Spooner, Thomas via phone (616) 459-7455.

Contact Information

Primary practice address
222 Fulton St E Grand Rapids MI 49503-3211
Fax:
Website:
Authorized official contact:
Name: Spooner, Thomas Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 4301030445 Michigan

Profile Details

NPI number 1659591204
LBN Legal business name Kent Otolaryngology Associates, P.C.
DBA Doing business as
Authorized official Spooner, Thomas Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 26th, 2007
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 1659591204 NPPES
Michigan MEDICAID 1120578

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