National Provider Identifier Database

EASTSIDE ENT SPECIALISTS INC
Specialist

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.


Contact Information

EASTSIDE ENT SPECIALISTS, INC
7580 AUBURN ROAD
#103
PAINESVILLE, OH44077
Phone: 440-352-1474
Fax: 440-352-2662
Website:
Specialty Taxonomy Code
* Specialist 174400000X

* Indicates primary specialty

NPI Profile & details for EASTSIDE ENT SPECIALISTS, INC

NPI Number 1215907845
Legal business name
LBN
EASTSIDE ENT SPECIALISTS, INC
Authorized official E. BOLD - (VICE PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 01/25/2006
Last updated 02/16/2010 - About 16 years ago
Sole proprietor1 Not specified
Identifiers
  • OH Medicaid: 0666364

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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