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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NPI Details

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
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: 3/30/2025

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