Provider Demographics
NPI:1306971395
Name:EAST LIVERPOOL EAR NOSE & THROAT
Entity type:Organization
Organization Name:EAST LIVERPOOL EAR NOSE & THROAT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TERRENCE
Authorized Official - Middle Name:E
Authorized Official - Last Name:ZIPFEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:330-382-1422
Mailing Address - Street 1:15613 PINEVIEW DR
Mailing Address - Street 2:SUITE C
Mailing Address - City:EAST LIVERPOOL
Mailing Address - State:OH
Mailing Address - Zip Code:43920-9667
Mailing Address - Country:US
Mailing Address - Phone:330-382-1422
Mailing Address - Fax:330-382-1154
Practice Address - Street 1:15613 PINEVIEW DR
Practice Address - Street 2:SUITE C
Practice Address - City:EAST LIVERPOOL
Practice Address - State:OH
Practice Address - Zip Code:43920-9667
Practice Address - Country:US
Practice Address - Phone:330-382-1422
Practice Address - Fax:330-382-1154
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-22
Last Update Date:2008-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Multi-Specialty
No207K00000XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyGroup - Multi-Specialty
No208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty
No231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Multi-Specialty