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Contact Information

PEDIATRIC EAR, NOSE & THROAT SPECIALISTS SC
9000 W WISCONSIN AVE
SUITE 265
MILWAUKEE, WI53226-3518
 Phone: 414-266-2761
 Fax: 414-266-2766
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Otolaryngology

207YP0228X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for PEDIATRIC EAR, NOSE & THROAT SPECIALISTS SC

NPI # 1528102498
LBN Legal business name PEDIATRIC EAR, NOSE & THROAT SPECIALISTS SC
Authorized official DAVID BESTE - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 02/16/2007
Last updated 05/30/2012 - About 14 years ago
Identifiers
WI License # 22968
WI License # 43113
WI Medicaid 30581400
WI Medicaid 34060600
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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