Otorhinolaryngology, Inc

LBN: Otorhinolaryngology, Inc
Otorhinolaryngology, Inc is an health care organization with primary practice located at 621 Memorial Dr Suite 402, South Bend IN 46601-1063. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Otorhinolaryngology, Inc can be contacted via phone (574) 232-4800, or through Kletzing, Daniel W via phone (574) 232-4800.

Contact Information

Primary practice address
621 Memorial Dr Suite 402 South Bend IN 46601-1063
Fax:
Website:
Authorized official contact:
Name: Kletzing, Daniel W Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X Indiana

Profile Details

NPI number 1942246822
LBN Legal business name Otorhinolaryngology, Inc
DBA Doing business as
Authorized official Kletzing, Daniel W Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 21st, 2006
Last updated Oct 29th, 2009 - about 16 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 1942246822 NPPES
Indiana Other 207Y00000X OTO TAXONOMY
Indiana Other 207YX0602Y OTO TAXONOMY
Indiana Other 35157729 OTO TAXONOMY
Indiana MEDICAID 100465500 OTO TAXONOMY
Indiana Other 207YX0905X OTO TAXONOMY

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