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.
| Specialty | Taxonomy Code | |
|---|---|---|
| * | Cardiovascular Disease | 207RC0000X |
| Family | 363LF0000X | |
| Nurse Practitioner | 363L00000X |
* Indicates primary specialty
| NPI Number | 1710935002 |
| Legal business name LBN |
COTTAGE GROVE CARDIOLOGY, P.C. |
| Authorized official | STACY SIMONS - (OFFICE ASSISTANT) |
| Entity | Organization |
| Organization subpart | No |
| Enumeration date | 05/05/2006 |
| Last updated | 11/05/2014 - About 12 years ago |
| Sole proprietor1 | Not specified |
| Identifiers |
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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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