MEDICARE: ALLIED EAR NOSE THROAT INSTITUTE 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	207Y00000X	Otolaryngology Physician		OH

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	:	1619019627
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALLIED EAR NOSE THROAT INSTITUTE INC

Provider Business Mailing Address
First Line	:	7763 MONTGOMERY RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45236
Country	:	US
Telephone Number	:	513-671-7000
Fax Number	:

Provider Business Practice Location Address
First Line	:	1467 SOLUTIONS CENTER
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60677-1004
Country	:	US
Telephone Number	:	513-671-7000
Fax Number	:	513-361-0148

Authorized Official
Title or Position	:	PARTNER
Name	:	DR. D. BRADLEY BOBBITT
Credential	:	M.D.
Telephone Number	:	513-671-7000

Provider Enumeration Date	:	02/13/2007
Last Update Date	:	07/21/2022

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