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SOUTHEASTERN ENT P.C. NPI 1487708731


NPI Information

NPI: 1487708731
Provider Name: SOUTHEASTERN ENT, P.C.
Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 01D0641726

Address:
107 E WATTS ST
ENTERPRISE, AL
ZIP 36330
Phone: (334) 393-6837
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SOUTHEASTERN ENT, P.C. is a specialist in Enterprise, AL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. SOUTHEASTERN ENT, P.C. NPI is 1487708731. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

107 E WATTS ST
ENTERPRISE, AL
ZIP 36330-511
Phone: (334) 393-6837
Fax: (334) 393-7011

The provider's authorized official is James Michael Mcqueen .
The authorized official title is Owner and has the following contact phone number (334) 393-6837.

The CLIA number assigned to this NPI record is 01D0641726 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 1/23/2007 and was last updated on 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialist14766ALABAMANo
2174400000XSpecialist22530ALABAMANo
3174400000XSpecialist06245ALABAMAYes

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.