Provider Demographics
NPI:1902132483
Name:ENT ASSOCIATES OF ROSEBURG LLC
Entity Type:Organization
Organization Name:ENT ASSOCIATES OF ROSEBURG LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:CARL
Authorized Official - Middle Name:STURGIS
Authorized Official - Last Name:SCHREINER
Authorized Official - Suffix:IV
Authorized Official - Credentials:MD
Authorized Official - Phone:541-677-3300
Mailing Address - Street 1:2801 NW MERCY DR
Mailing Address - Street 2:SUITE 330
Mailing Address - City:ROSEBURG
Mailing Address - State:OR
Mailing Address - Zip Code:97471-2348
Mailing Address - Country:US
Mailing Address - Phone:541-677-3300
Mailing Address - Fax:541-677-3350
Practice Address - Street 1:2801 NW MERCY DR
Practice Address - Street 2:SUITE 330
Practice Address - City:ROSEBURG
Practice Address - State:OR
Practice Address - Zip Code:97471-2348
Practice Address - Country:US
Practice Address - Phone:541-677-3300
Practice Address - Fax:541-677-3350
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-19
Last Update Date:2011-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Single Specialty