National Provider Identifier Database

CARDIOLOGISTS OF CLARK CHAMPAIGN COUNTIES
Cardiovascular Disease

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.


Contact Information

CARDIOLOGISTS OF CLARK & CHAMPAIGN COUNTIES
100 W. MCCREIGHT AVE
STE 150
SPRINGFIELD, OH45504
Phone: 937-323-1404
Fax: 937-323-1407
Website:
Specialty Taxonomy Code
* Cardiovascular Disease 207RC0000X

* Indicates primary specialty

NPI Profile & details for CARDIOLOGISTS OF CLARK & CHAMPAIGN COUNTIES

NPI Number 1164452900
Legal business name
LBN
CARDIOLOGISTS OF CLARK & CHAMPAIGN COUNTIES
Authorized official SUSAN GABBARD - (PRACTICE ADMINISTRATOR)
Entity Organization
Organization subpart Yes
Enumeration date 07/04/2006
Last updated 01/30/2017 - About 9 years ago
Sole proprietor1 Not specified
Identifiers
  • OH License #: 207RC0000X
  • OH Medicaid: 0942412
  • OH Other: CM7602 RAILROAD MEDICARE

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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