Ear, Nose, And Throat, P.c. | |
500 Arcade Ave Suite 210 Elkhart IN 46514-2477 | |
(574) 389-9696 | |
(574) 389-9797 |
Full Name | Ear, Nose, And Throat, P.c. |
---|---|
Speciality | Clinic/center - Primary Care |
Location | 500 Arcade Ave, Elkhart, Indiana |
Authorized Official Name and Position | Craig E. Meyer (OWNER/PRESIDENT) |
Authorized Official Contact | 5743899696 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Ear, Nose, And Throat, P.c. 500 Arcade Ave Suite 210 Elkhart IN 46514-2477 Ph: (574) 389-9696 | Ear, Nose, And Throat, P.c. 500 Arcade Ave Suite 210 Elkhart IN 46514-2477 Ph: (574) 389-9696 |
NPI Number | 1235384744 |
---|---|
Provider Enumeration Date | 11/25/2008 |
Last Update Date | 11/25/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1235384744 | NPI | - | NPPES |
100112550B | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | 01031695A (Indiana) | Primary |
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