Kids Ent Of Indiana Llc

LBN: Kids Ent Of Indiana Llc
Kids Ent Of Indiana Llc is an health care organization with primary practice located at 8240 Naab Rd Ste 150 , Indianapolis IN 46260-1974. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Otolaryngology, which is considered as the primary health care specialty. Kids Ent Of Indiana Llc can be contacted via phone (317) 903-4675, or through Trigg, Dean via phone (773) 386-7035.

Contact Information

Primary practice address
8240 Naab Rd Ste 150 Indianapolis IN 46260-1974
Phone: (317) 903-4675
Fax: (317) 614-7154
Website:
Map and Directions
Authorized official contact:
Name: Trigg, Dean Doctor of Medicine (MD)
Phone: (773) 386-7035

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Otolaryngology 207YP0228X

Profile Details

NPI number 1376044784
LBN Legal business name Kids Ent Of Indiana Llc
DBA Doing business as
Authorized official Trigg, Dean Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 22nd, 2018
Last updated May 10th, 2022 - about 2 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 1376044784 NPPES
Indiana MEDICAID 200859540

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