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NPI Code Detail

MEDICARE: ENT PHYSICIANS INC

MEDICARE: ENT PHYSICIANS 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
1207Y00000XOtolaryngology Physician35044940OH

Other Identifiers

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

General Provider Information

NPI Number : 1871692996
Entity Type Code : Organization
Provider Name (Legal Business Name) : ENT PHYSICIANS INC
Provider Business Mailing Address
First Line : 4640 W ALEXIS RD
Second Line :
City : TOLEDO
State : OH
Zip : 43623-1182
Country : US
Telephone Number : 419-474-9324
Fax Number : 855-287-0160
Provider Business Practice Location Address
First Line : 4640 W ALEXIS RD
Second Line :
City : TOLEDO
State : OH
Zip : 43623-1182
Country : US
Telephone Number : 419-474-9324
Fax Number : 855-287-0160
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : LORI A. COYLE
Credential :
Telephone Number : 419-776-5026
Provider Enumeration Date : 09/22/2006
Last Update Date : 12/23/2025

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Directions to “ENT PHYSICIANS INC ” Practice Location

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