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Contact Information

BEAVER DAM ENT LLC
707 S UNIVERSITY AVE
BEAVER DAM, WI53916-3027
 Phone: 920-887-6383
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for BEAVER DAM ENT LLC

NPI Number 1124277009
LBN Legal business name BEAVER DAM ENT LLC
Authorized official K ABRAMS - (CFO)
Entity Organization
Organization subpart 1 No
Enumeration date 09/16/2008
Last updated 01/23/2009 - About 17 years ago
Identifiers n/a
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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