Provider Demographics
NPI:1417909409
Name:ALAMANCE EAR NOSE AND THROAT, LLP
Entity Type:Organization
Organization Name:ALAMANCE EAR NOSE AND THROAT, LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:CHAPMAN
Authorized Official - Middle Name:TEAGUE
Authorized Official - Last Name:MCQUEEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-226-0660
Mailing Address - Street 1:PO BOX 2
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27216-0002
Mailing Address - Country:US
Mailing Address - Phone:336-226-0660
Mailing Address - Fax:336-227-6327
Practice Address - Street 1:4030 OAKS PROFESSIONAL PKWY STE 201
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:NC
Practice Address - Zip Code:27215-8491
Practice Address - Country:US
Practice Address - Phone:336-226-0660
Practice Address - Fax:336-227-6327
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-17
Last Update Date:2022-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Single Specialty
No231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty
No237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2846OtherWELLPATH
NC1417909409Medicaid
NC890137CMedicaid
NC442659OtherAETNA
NC3404191Medicaid
NC0137COtherBCBS