Provider Demographics
NPI:1144305475
Name:SAINT BLAISE EAR NOSE AND THROAT PA
Entity type:Organization
Organization Name:SAINT BLAISE EAR NOSE AND THROAT PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:ARNOLD
Authorized Official - Last Name:PINCUS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:336-883-2765
Mailing Address - Street 1:9936 US HIGHWAY 311
Mailing Address - Street 2:
Mailing Address - City:ARCHDALE
Mailing Address - State:NC
Mailing Address - Zip Code:27263-8826
Mailing Address - Country:US
Mailing Address - Phone:336-883-2765
Mailing Address - Fax:336-883-9066
Practice Address - Street 1:9936 US HIGHWAY 311
Practice Address - Street 2:
Practice Address - City:ARCHDALE
Practice Address - State:NC
Practice Address - Zip Code:27263-8826
Practice Address - Country:US
Practice Address - Phone:336-883-2765
Practice Address - Fax:336-883-9066
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-26
Last Update Date:2008-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207YX0007XAllopathic & Osteopathic PhysiciansOtolaryngologyPlastic Surgery within the Head & NeckGroup - Single Specialty