National Provider Identifier Database

FACIAL PLASTIC SURGERY EARS NOSE AND THROAT CLINIC
Plastic Surgery within the Head & Neck

An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them.


Contact Information

FACIAL PLASTIC SURGERY EARS, NOSE, AND THROAT CLINIC
2220 W ALTO RD
KOKOMO, IN46902-4840
Phone: 765-455-2577
Fax:
Website:
Specialty Taxonomy Code
* Plastic Surgery within the Head & Neck 207YX0007X
Facial Plastic Surgery 207YS0123X
Otolaryngology/Facial Plastic Surgery 207YX0905X
Plastic Surgery Within the Head and Neck 2082S0099X

* Indicates primary specialty

NPI Profile & details for FACIAL PLASTIC SURGERY EARS, NOSE, AND THROAT CLINIC

NPI Number 1043404296
Legal business name
LBN
FACIAL PLASTIC SURGERY EARS, NOSE, AND THROAT CLINIC
Authorized official BANIPAL HOVHANESSIAN - (DR./OWNER)
Entity Organization
Organization subpart No
Enumeration date 08/30/2007
Last updated 08/30/2007 - About 19 years ago
Sole proprietor1 Not specified
Identifiers
  • IN Other: 000000087718 BLUE CROSS

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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