Cardiovascular Associates Of Northeastern Indiana Llc
LBN: Cardiovascular Associates Of Northeastern Indiana Llc
Cardiovascular Associates Of Northeastern Indiana Llc is an health care organization with primary practice located at 7900 W Jefferson Blvd Suite 303, Ft Wayne IN 46804-4128. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as the primary health care specialty.
Cardiovascular Associates Of Northeastern Indiana Llc can be contacted via phone (260) 436-6098, or through Csicsko, John via phone (260) 436-6098.
Contact Information
Primary practice address
7900 W Jefferson Blvd Suite 303
Ft Wayne IN 46804-4128
Phone: (260) 436-6098
Fax: (260) 436-3173
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X |
Profile Details
| NPI number | 1083684948 |
|---|---|
| LBN Legal business name | Cardiovascular Associates Of Northeastern Indiana Llc |
| DBA Doing business as | |
| Authorized official | Csicsko, John Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 24th, 2006 |
| Last updated | Nov 28th, 2011 - about 14 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083684948 | NPPES |
| Indiana | MEDICAID | 200049160A | |
| Indiana | Other | CA5617 |
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