Salem Pediatric Ear And Airway Center, Pllc

LBN: Salem Pediatric Ear And Airway Center, Pllc
Salem Pediatric Ear And Airway Center, Pllc is an health care organization with primary practice located at 615 Saint George Square Ct Suite 364, Winston Salem NC 27103-1356. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Otolaryngology, which is considered as the primary health care specialty. Salem Pediatric Ear And Airway Center, Pllc can be contacted via phone (336) 245-4972, or through Evans, Adele Karen via phone (919) 699-2269.

Contact Information

Primary practice address
615 Saint George Square Ct Suite 364 Winston Salem NC 27103-1356
Phone: (336) 245-4972
Fax: (336) 450-1676
Website:
Map and Directions
Authorized official contact:
Name: Evans, Adele Karen Doctor of Medicine (MD)
Phone: (919) 699-2269

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Otolaryngology 207YP0228X 2006-00303 North Carolina

Profile Details

NPI number 1588025381
LBN Legal business name Salem Pediatric Ear And Airway Center, Pllc
DBA Doing business as
Authorized official Evans, Adele Karen Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 8th, 2016
Last updated Mar 8th, 2016 - about 8 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 1588025381 NPPES
North Carolina MEDICAID 1760414866

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