Provider Demographics
NPI:1033430061
Name:GARMAN EAR NOSE AND THROAT CENTER PC
Entity Type:Organization
Organization Name:GARMAN EAR NOSE AND THROAT CENTER PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GUY
Authorized Official - Middle Name:RUSSELL
Authorized Official - Last Name:GARMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:340-778-0730
Mailing Address - Street 1:4002 BEESTON HILL MEDICAL CENTER
Mailing Address - Street 2:SUITE 9
Mailing Address - City:CHRISTIANSTED
Mailing Address - State:VI
Mailing Address - Zip Code:00820
Mailing Address - Country:US
Mailing Address - Phone:340-778-0730
Mailing Address - Fax:340-713-0733
Practice Address - Street 1:1AA BEESTON HILL MEDICAL CENTER
Practice Address - Street 2:SUITE9
Practice Address - City:CHRISTIANSTED
Practice Address - State:VI
Practice Address - Zip Code:00821
Practice Address - Country:US
Practice Address - Phone:340-778-0730
Practice Address - Fax:340-713-0733
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-14
Last Update Date:2011-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VI1602261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VI1306879309OtherPERSOAL NPI