Provider Demographics
NPI:1558449991
Name:ENT ASSOCIATES OF ALABAMA PA
Entity Type:Organization
Organization Name:ENT ASSOCIATES OF ALABAMA PA
Other - Org Name:DRS KITCHENS CHAPMAN & ANDERSON PA
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OTOLARYNGOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:CRAIG
Authorized Official - Last Name:CHAPMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:334-272-8644
Mailing Address - Street 1:1773 PLATT PL
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36117-7762
Mailing Address - Country:US
Mailing Address - Phone:334-272-8644
Mailing Address - Fax:334-284-9714
Practice Address - Street 1:1773 PLATT PL
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36117-7762
Practice Address - Country:US
Practice Address - Phone:334-272-8644
Practice Address - Fax:334-284-9714
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-02
Last Update Date:2017-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALCD3556OtherRAILROAD MEDICARE
ALD875Medicare PIN