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Contact Information

BLUEGRASS EAR, NOSE & THROAT
3080 HARRODSBURG RD
SUITE 200
LEXINGTON, KY40503-2774
 Phone: 859-277-3725
 Fax: 859-276-6263
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Audiologist

231H00000X 64 Audiologist
 

Audiologist-Hearing Aid Fitter

237600000X
 

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for BLUEGRASS EAR, NOSE & THROAT

NPI # 1417499880
LBN Legal business name BLUEGRASS EAR, NOSE & THROAT
Authorized official ALBERT SPEACH - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/16/2016
Last updated 11/16/2016 - About 10 years ago
Identifiers
KY License # 0546
KY License # 1037
KY License # 26776
KY Medicaid 64267768
KY Other 1447278932 NPI
KY Other 1891797940 NPI
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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