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Contact Information

WARREN OTOLOGIC GROUP, INC
3893 E MARKET ST
WARREN, OH44484-4706
 Phone: 330-856-4000
 Fax: 330-609-9910
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
 

Allergy

207KA0200X 03 Physician/Allergy/ Immunology
 

Otology & Neurotology

207YX0901X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for WARREN OTOLOGIC GROUP, INC

NPI Number 1720023351
LBN Legal business name WARREN OTOLOGIC GROUP, INC
Authorized official WILLIAM LIPPY - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 06/18/2006
Last updated 05/16/2017 - About 9 years ago
Identifiers
OH Medicaid 0092457
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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