West Tennessee Ent Clinic, P.A.

LBN: West Tennessee Ent Clinic, P.A.
West Tennessee Ent Clinic, P.A. is an health care organization with primary practice located at 619 Skyline Dr , Jackson TN 38301-3903. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as the primary health care specialty. West Tennessee Ent Clinic, P.A. can be contacted via phone (731) 424-3682, or through Wainscott, William Keith via phone (731) 424-3682.

Contact Information

Primary practice address
619 Skyline Dr Jackson TN 38301-3903
Phone: (731) 424-3682
Fax: (731) 423-2714
Website:
Map and Directions
Authorized official contact:
Name: Wainscott, William Keith Doctor of Medicine (MD)
Phone: (731) 424-3682

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X

Profile Details

NPI number 1720070535
LBN Legal business name West Tennessee Ent Clinic, P.A.
DBA Doing business as
Authorized official Wainscott, William Keith Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 17th, 2005
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 1720070535 NPPES
Tennessee MEDICAID 3382042

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