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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.

Location: 621 Memorial Dr, South Bend, IN, 46634-1916
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
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
South Bend
State
Indiana
Zip
46601-1063
Phone Number
574-232-4800
Fax Number
person
Provider Business Mailing Address Details
Address
621 Memorial Dr
City
South Bend
State
Indiana
Zip
46601-1063
Phone Number
574-232-4800
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
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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