Medical Park Ear Nose & Throat Ltd

LBN: Medical Park Ear Nose & Throat Ltd
Medical Park Ear Nose & Throat Ltd is an health care organization with primary practice located at 80 Medical Park Dr , Lewisburg PA 17837-6343. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as the primary health care specialty. Medical Park Ear Nose & Throat Ltd can be contacted via phone (570) 523-1163, or through Bruce, William B via phone (570) 523-1163.

Contact Information

Primary practice address
80 Medical Park Dr Lewisburg PA 17837-6343
Fax: (570) 524-5737
Website:
Authorized official contact:
Name: Bruce, William B Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X MD023535E Pennsylvania

Profile Details

NPI number 1871592055
LBN Legal business name Medical Park Ear Nose & Throat Ltd
DBA Doing business as
Authorized official Bruce, William B Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 19th, 2005
Last updated Jan 14th, 2013 - about 11 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 1871592055 NPPES
Pennsylvania MEDICAID 1007486870002
Pennsylvania Other 01650001
Pennsylvania Other 072467

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