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Contact Information

CCSG LLC
1801 N SENATE BLVD
STE 755
INDIANAPOLIS, IN46202-1228
 Phone: 317-962-5888
 Fax: 317-962-6259
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Thoracic Surgery (Cardiothoracic Vascular Surgery)

208G00000X 02 Physician/General Surgery
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for CCSG LLC · (Female)

NPI # 1700057718
Status Active
Credentials
Entity Individual
Enumeration date 03/18/2008
Last updated 02/16/2010 - About 16 years ago
Sole proprietor 1 Not specified
Identifiers
  • IN Medicaid 200906830
  • IN Other DN6820 RAILROAD MEDICARE GROUP
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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