Provider Demographics
NPI:1578972659
Name:EAR NOSE AND THROAT CONSULTANTS LLC
Entity Type:Organization
Organization Name:EAR NOSE AND THROAT CONSULTANTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:STANLEY
Authorized Official - Middle Name:H
Authorized Official - Last Name:SCHACK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:402-778-5250
Mailing Address - Street 1:2727 S 144TH ST STE 250
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68144-5236
Mailing Address - Country:US
Mailing Address - Phone:402-778-5250
Mailing Address - Fax:
Practice Address - Street 1:2727 S 144TH ST STE 250
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68144-5236
Practice Address - Country:US
Practice Address - Phone:402-778-5250
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-04
Last Update Date:2014-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Multi-Specialty