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Contact Information

FORT WAYNE CARDIOLOGY CORPORATION
11558 SR 111
PAULDING, OH45879
 Phone: 260-481-4700
 Fax: 260-481-4808
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
 

Clinical Cardiac Electrophysiology

207RC0001X 11 Physician/Internal Medicine
 

Interventional Cardiology

207RI0011X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for FORT WAYNE CARDIOLOGY CORPORATION · (Female)

NPI Number 1669458733
Status Active
Credentials
Entity Individual
Enumeration date 12/20/2005
Last updated 10/07/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • IN Medicaid 200425420M
  • OH Other CK8615 RR MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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