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Contact Information

MID-COLUMBIA EAR, NOSE & THROAT, P.L.L.C.
3903 S IRBY ST
KENNEWICK, WA99337-2451
 Phone: 509-585-0795
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
 

Audiologist

231H00000X 64 Audiologist
Indicates primary specialty

NPI Profile & details for MID-COLUMBIA EAR, NOSE & THROAT, P.L.L.C.

NPI Number 1386819704
LBN Legal business name MID-COLUMBIA EAR, NOSE & THROAT, P.L.L.C.
Authorized official RANDALL FONG - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/26/2008
Last updated 05/10/2008 - About 18 years ago
Identifiers
WA License # LD0002175
WA License # MD00032458
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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