| 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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