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Contact Information

EASTSIDE ENT SPECIALISTS, INC
7580 AUBURN ROAD
#103
PAINESVILLE, OH44077
 Phone: 440-352-1474
 Fax: 440-352-2662
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for EASTSIDE ENT SPECIALISTS INC · (Female)

NPI # 1215907845
Status Active
Credentials
Entity Individual
Enumeration date 01/25/2006
Last updated 02/16/2010 - About 16 years ago
Sole proprietor 1 Not specified
Identifiers
  • OH Medicaid 0666364
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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