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Contact Information

EAR NOSE AND THROAT FAMILY CLINIC OF WISCONSIN SC
6127 GREEN BAY RD
SUITE 100
KENOSHA, WI53142-2946
 Phone: 262-652-2887
 Fax: 262-652-0547
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for EAR NOSE AND THROAT FAMILY CLINIC OF WISCONSIN SC

NPI # 1578650164
LBN Legal business name EAR NOSE AND THROAT FAMILY CLINIC OF WISCONSIN SC
Authorized official HILEL SWERDLIN - (MD PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 10/06/2006
Last updated 05/10/2021 - About 5 years ago
Identifiers
WI Medicaid 21301700
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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