Provider Demographics
NPI:1306026158
Name:ENT ASSOCIATES OF CINTI INC
Entity Type:Organization
Organization Name:ENT ASSOCIATES OF CINTI INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ALTER
Authorized Official - Middle Name:G
Authorized Official - Last Name:PEERLESS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:513-936-0500
Mailing Address - Street 1:PO BOX 691503
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45269-1503
Mailing Address - Country:US
Mailing Address - Phone:513-936-0500
Mailing Address - Fax:513-936-0600
Practice Address - Street 1:9403 KENWOOD RD
Practice Address - Street 2:C204
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45242-6895
Practice Address - Country:US
Practice Address - Phone:513-729-0200
Practice Address - Fax:513-729-0333
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-09
Last Update Date:2008-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35041973174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHA77804Medicare UPIN
OH9167413Medicare PIN