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Contact Information

EAR, HEAD & NECK SPECIALISTS
253 DUNN ROAD
FLORISSANT, MO63031
 Phone: 314-921-7770
 Fax: 314-921-1417
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for EAR, HEAD & NECK SPECIALISTS

NPI Number 1033202718
LBN Legal business name EAR, HEAD & NECK SPECIALISTS
Authorized official SHELDON DAVIS - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 10/02/2006
Last updated 11/01/2007 - About 19 years ago
Identifiers
MO Medicaid 502854300
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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