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Contact Information

EASTSIDE ENT SPECIALISTS, INC
7580 AUBURN ROAD
#103
PAINESVILLE, OH44077
 Phone: 440-352-1474
 Fax: 440-352-2662
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for EASTSIDE ENT SPECIALISTS, INC

NPI # 1215907845
LBN Legal business name EASTSIDE ENT SPECIALISTS, INC
Authorized official E. BOLD - (VICE PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 01/25/2006
Last updated 02/16/2010 - About 16 years ago
Identifiers
OH Medicaid 0666364
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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