Pediatric Cardiology Of Michiana, Pc
LBN: Pediatric Cardiology Of Michiana, Pc
Pediatric Cardiology Of Michiana, Pc is an health care organization with primary practice located at 707 N Michigan St Suite 316, South Bend IN 46601-1067. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Cardiology, which is considered as the primary health care specialty.
Pediatric Cardiology Of Michiana, Pc can be contacted via phone (574) 232-3325, or through Speckhard, Stacy via phone (574) 232-3325.
Contact Information
Primary practice address
707 N Michigan St Suite 316
South Bend IN 46601-1067
Phone: (574) 232-3325
Fax: (574) 232-3358
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Cardiology | 2080P0202X | 01034696A | Indiana |
Profile Details
| NPI number | 1891816559 |
|---|---|
| LBN Legal business name | Pediatric Cardiology Of Michiana, Pc |
| DBA Doing business as | |
| Authorized official | Speckhard, Stacy |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 2nd, 2007 |
| Last updated | Jun 17th, 2008 - about 16 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 | 1891816559 | NPPES |
| Indiana | MEDICAID | 100475760A | |
| Indiana | Other | 4564274 | |
| Indiana | Other | 000000330797001 | |
| Indiana | Other | 1761550 |
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