National Provider Identifier Database

CHILDRENS HEART CARE CLINIC LLC
Pediatric Cardiology

A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.


Contact Information

CHILDREN'S HEART CARE CLINIC LLC
14328 WATERWAY BLVD
FORTVILLE, IN46040-9455
Phone: 646-234-8354
Fax:
Website:
Specialty Taxonomy Code
* Pediatric Cardiology 2080P0202X

* Indicates primary specialty

NPI Profile & details for CHILDREN'S HEART CARE CLINIC LLC

NPI Number 1114257052
Legal business name
LBN
CHILDREN'S HEART CARE CLINIC LLC
Authorized official STEVEN TODMAN - (EVP AND CHIEF MEDICAL OFFICER)
Entity Organization
Organization subpart No
Enumeration date 12/26/2009
Last updated 02/15/2011 - About 15 years ago
Sole proprietor1 Not specified
Identifiers
  • IN License #: 01063650A

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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