Provider Demographics
NPI:1699791525
Name:ENT CONSULTANTS PLC
Entity type:Organization
Organization Name:ENT CONSULTANTS PLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:VELDT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:616-954-1700
Mailing Address - Street 1:4880 CASCADE RD SE
Mailing Address - Street 2:
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49546-3721
Mailing Address - Country:US
Mailing Address - Phone:616-954-9300
Mailing Address - Fax:616-954-9543
Practice Address - Street 1:4880 CASCADE RD SE
Practice Address - Street 2:
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49546-3721
Practice Address - Country:US
Practice Address - Phone:616-954-9300
Practice Address - Fax:616-954-9543
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Multi-Specialty
Not Answered207YX0901XAllopathic & Osteopathic PhysiciansOtolaryngologyOtology & NeurotologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0P21880Medicare ID - Type Unspecified