Organization Name: | EASTERN ENT SINUS & ALLERGY CENTER, PA |
NPI Number: | 1003060757 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DANIEL WHITLEY (PRESIDENT) |
Mailing Address: | 504 Balsey St Clinton |
State: | NC US |
Postal Code: | 283282902 |
Phone Number: | 9105929993 |
Fax Number: | 9105939994 |
NPI Enumeration Date: | 11/07/2008 |
NPI Last Update Date: | 01/13/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 28594 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | 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. |