| Korver Ear Nose & Throat, Llc | |
|
907 Lincoln Cir Se Orange City IA 51041-1859 | |
| (712) 707-9585 | |
| Not Available |
| Full Name | Korver Ear Nose & Throat, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 907 Lincoln Cir Se, Orange City, Iowa |
| Authorized Official Name and Position | Marci Jene Bakker (OFFICE ASSISTANT) |
| Authorized Official Contact | 7127079585 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Korver Ear Nose & Throat, Llc 907 Lincoln Cir Se Orange City IA 51041-1859 Ph: (712) 707-9585 | Korver Ear Nose & Throat, Llc 907 Lincoln Cir Se Orange City IA 51041-1859 Ph: (712) 707-9585 |
| NPI Number | 1689778201 |
|---|---|
| Provider Enumeration Date | 09/12/2006 |
| Last Update Date | 09/03/2015 |
| Medicare PECOS PAC ID | 3870592314 |
|---|---|
| Medicare Enrollment ID | O20061212000156 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689778201 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Gail L Bolton |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1710952106 PECOS PAC ID: 2062310220 Enrollment ID: I20031224000036 |
| Provider Name | Kurtis D Korver |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1356451421 PECOS PAC ID: 0143229765 Enrollment ID: I20061208000493 |