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AFFINITY HEALTH GROUP LLC NPI 1750793378


NPI Information

NPI: 1750793378
Provider Name: AFFINITY HEALTH GROUP, LLC

Doing Business As: AFFINITY EAR NOSE & THROAT CLINIC

Classification: Otolaryngology - 207Y00000X
Entity Type: Organization

CLIA Number: 19D2076514

Address:
2516 BROADMOOR BLVD
MONROE, LA
ZIP 71201
Phone: (318) 812-1125
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AFFINITY HEALTH GROUP, LLC is an otolaryngology in Monroe, LA. The provider is an otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. AFFINITY HEALTH GROUP, LLC NPI is 1750793378. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Affinity Ear Nose & Throat Clinic.

The provider's business location address is:

2516 BROADMOOR BLVD
MONROE, LA
ZIP 71201-988
Phone: (318) 812-1125
Fax: (318) 812-1129

The provider's authorized official is Mike Breard .
The authorized official title is Executive Vice President and has the following contact phone number (318) 361-0900.

The CLIA number assigned to this NPI record is 19D2076514 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/2/2014 and was last updated on 4/26/2017.


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
1207Y00000XOtolaryngology015594LOUISIANAYes

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: 4/28/2024

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