MEDICARE: ENT & ALLERGY HEALTH SERVICES, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1992805279
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ENT & ALLERGY HEALTH SERVICES, INC.

Provider Business Mailing Address
First Line	:	25761 LORAIN RD
Second Line	:	3RD FL
City	:	NORTH OLMSTED
State	:	OH
Zip	:	44070-3327
Country	:	US
Telephone Number	:	440-779-1112
Fax Number	:	440-779-0247

Provider Business Practice Location Address
First Line	:	5500 RIDGE RD
Second Line	:	SUITE #226
City	:	PARMA
State	:	OH
Zip	:	44129-2394
Country	:	US
Telephone Number	:	440-887-7612
Fax Number	:	440-887-7613

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JEFFREY EDWARD BINDER
Credential	:	D.O.
Telephone Number	:	440-779-1112

Provider Enumeration Date	:	09/25/2006
Last Update Date	:	06/16/2008

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Directions to “ENT & ALLERGY HEALTH SERVICES, INC. ” Practice Location

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