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ASSOCIATED OTOLARYNGOLOGISTS OF DECATUR NPI 1184875189


NPI Information

NPI: 1184875189
Provider Name: ASSOCIATED OTOLARYNGOLOGISTS OF DECATUR
Classification: Hearing Aid Equipment - 332S00000X
Entity Type: Organization
Address:
101 W MCKINLEY AVE
101W MCKINLEY AVE
DECATUR, IL
ZIP 62526
Phone: (217) 876-3372
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ASSOCIATED OTOLARYNGOLOGISTS OF DECATUR is a hearing aid equipment in Decatur, IL. The provider is the manufacture and/or sale of electronic hearing aids, their component parts, and related products and services on a national basis. ASSOCIATED OTOLARYNGOLOGISTS OF DECATUR NPI is 1184875189. The provider is registered as an organization entity type.

The provider's business location address is:

101 W MCKINLEY AVE
101W MCKINLEY AVE
DECATUR, IL
ZIP 62526-286
Phone: (217) 876-3372
Fax: (217) 876-3345

The provider's authorized official is Steve Mark Sobol .
The authorized official title is Ent Doctor and has the following contact phone number (217) 876-3372.

The enumeration date for this NPI number is 10/8/2008 and was last updated on 10/8/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332S00000XHearing Aid Equipment042006194ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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