institution
Otorhinolaryngology, Inc
Specialist in South Bend, Indiana
NPI 1942246822

Otorhinolaryngology, Inc is a Specialist based in South Bend, IN. Otorhinolaryngology, Inc practices in South Bend, IN. The NPI Number for Otorhinolaryngology, Inc is 1942246822 and holds a License No. (Indiana).

The current practice location address for Otorhinolaryngology, Inc is 621 Memorial Dr, South Bend, IN and can be reached out via phone at 574-232-4800. You can also correspond with Otorhinolaryngology, Inc through the mailing address at PO BOX 1916, SOUTH BEND, IN - 46634-1916 (mailing address contact number: 574-232-4800).

Location: 621 Memorial Dr, South Bend, IN, 46634-1916
institution
Provider Profile Details
NPI Number
1942246822
Provider Name
Otorhinolaryngology, Inc
Credential
Provider Entity Type
Organization
Address
621 Memorial Dr, South Bend, IN, 46634-1916
Phone Number
574-232-4800
Fax Number
Provider Enumeration Date
06/21/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
207Y00000X 01 IN OTO TAXONOMY
207YX0602Y 01 IN ALLERGY TAXONOMY 1
35157729 01 IN TAX IDENTIFICATION
100465500 05 IN
207YX0905X 01 IN FACIAL PLASTIC TAXONOMY
institution
Provider Business Practice Location Address Details
Address
621 Memorial Dr
City
State
Zip
46601-1063
Phone Number
574-232-4800
Fax Number
person
Provider Business Mailing Address Details
Address
621 Memorial Dr
City
State
Zip
46601-1063
Phone Number
574-232-4800
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
(Indiana)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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