Provider Demographics
NPI:1841209772
Name:HARRISONBURG ENT ASSOCIATES INC
Entity Type:Organization
Organization Name:HARRISONBURG ENT ASSOCIATES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DANNY
Authorized Official - Middle Name:A
Authorized Official - Last Name:NEAL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:540-433-6041
Mailing Address - Street 1:333 LUCY DR
Mailing Address - Street 2:
Mailing Address - City:HARRISONBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22801-8050
Mailing Address - Country:US
Mailing Address - Phone:540-433-6041
Mailing Address - Fax:
Practice Address - Street 1:333 LUCY DR
Practice Address - Street 2:
Practice Address - City:HARRISONBURG
Practice Address - State:VA
Practice Address - Zip Code:22801-8050
Practice Address - Country:US
Practice Address - Phone:540-433-6041
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-07
Last Update Date:2013-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA101040069207YX0602X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207YX0602XAllopathic & Osteopathic PhysiciansOtolaryngologyOtolaryngic AllergyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA083373OtherTRIGON
VA2074X0905XOtherTAXONOMY NUMBER
VA2074X0905XOtherTAXONOMY NUMBER