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Contact Information

CENTER FOR OTOLARYNGOLOGY AND FACIAL PLASTIC SURGERY, L.L.C.
2203 45TH ST
SUITE 'B'
HIGHLAND, IN46322-2601
 Phone: 219-836-4820
 Fax: 219-836-5186
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Facial Plastic Surgery

207YS0123X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for CENTER FOR OTOLARYNGOLOGY AND FACIAL PLASTIC SURGERY LLC · (Female)

NPI Number 1023195021
Status Active
Credentials
Entity Individual
Enumeration date 11/01/2006
Last updated 03/24/2015 - About 11 years ago
Sole proprietor 1 Not specified
Identifiers
  • IN License # 02002695A
  • IN Medicaid 200841030 A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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