National Provider Identifier Database

FORT WAYNE CARDIOLOGY CORPORATION
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

FORT WAYNE CARDIOLOGY CORPORATION
208 COLUMBUS ST
HICKSVILLE, OH43526
Phone: 260-481-4700
Fax: 260-481-4808
Website:
Specialty Taxonomy Code
* Cardiovascular Disease 207RC0000X
Clinical Cardiac Electrophysiology 207RC0001X
Interventional Cardiology 207RI0011X

* Indicates primary specialty

NPI Profile & details for FORT WAYNE CARDIOLOGY CORPORATION

NPI Number 1730165242
Legal business name
LBN
FORT WAYNE CARDIOLOGY CORPORATION
Authorized official POLLY BALOSKI - (BILLING MANAGER)
Entity Organization
Organization subpart Yes
Enumeration date 12/16/2005
Last updated 10/07/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • IN Medicaid: 200425420L

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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