Beach Ear Nose Throat PC

Organization Otolaryngology Physician · NPI 1801177639

Beach Ear Nose Throat PC is an Otolaryngology Physician in Va Beach, Virginia. Licensed in Florida, North Carolina and Virginia. Registered with an NPI since 2011.

Licensed in: FL, NC, VA
In the registry since: 2011
Specialties on file: 3

What do these letters mean?

PC — Professional corporation: A form of business registration, not a clinical qualification.

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Practice location Address checks out

1020 Independence Blvd Ste 313
Va Beach, VA 23455
Phone: (757) 464-9165
Fax: (757) 464-4478

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Specialties & licences

Otolaryngology Physician (primary)	Taxonomy 207Y00000X · Licence 0101027211 (VA)
Otolaryngology Physician	Taxonomy 207Y00000X · Licence 16027 (NC)
Otolaryngology Physician	Taxonomy 207Y00000X · Licence ME17505 (FL)

Record details

NPI number	1801177639
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	William Teachey — President · (757) 464-9165
NPI enumerated	September 7, 2011
Last updated in NPPES	December 27, 2012
Mailing address	1020 Independence Blvd, Suite 313, Va Beach, VA 23455