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Contact Information

NORTHERN IOWA CARDIOVASCULAR AND THORACIC SURGERY CLINIC, PC
1753 W RIDGEWAY AVE STE 111
WATERLOO, IA50701-4588
 Phone: 319-233-6211
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Thoracic Surgery (Cardiothoracic Vascular Surgery)

208G00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for NORTHERN IOWA CARDIOVASCULAR AND THORACIC SURGERY CLINIC, PC

NPI # 1942545975
LBN Legal business name NORTHERN IOWA CARDIOVASCULAR AND THORACIC SURGERY CLINIC, PC
Authorized official EROMOSELE OTOADESE - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/03/2012
Last updated 04/29/2020 - About 6 years ago
Identifiers
IA License # 28663
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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