Ear, Nose & Throat Associates, PC

Organization Active NPI Otolaryngology Physician · Bluffton, IN

NPI 1619954468 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1619954468
Entity type
Organization (NPI type 2)
Primary specialty
Otolaryngology Physician 207Y00000X
License
50000001A (IN)
Legal business name
EAR, NOSE & THROAT ASSOCIATES, PC
Practice address
1169 N Main St
Suite 5
Bluffton, IN 46714-1360
Phone
(260) 827-4368
Fax
(260) 827-4370
NPI assigned
Dec 22, 2005
Organization subpart
No

Authorized official

Name
Kenn Van Der Weele
Title
Ceo
Phone
(260) 207-1675

National Provider Directory

Locations

1169 N Main St
Ste 5
Bluffton, IN 46714
Phone (260) 827-4368

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207Y00000X 50000001A IN Yes

Addresses

Primary practice location

1169 N Main St
Suite 5
Bluffton, IN 46714-1360

Mailing address

10021 Dupont Circle CT
Fort Wayne, IN 46825-1604
Phone (260) 426-8117

Other providers in Bluffton, IN

All providers in Bluffton, IN · Otolaryngology Physician in Indiana

Sources for this page

Verify at the official NPI Registry.