National Provider Identifier Database

CHRISTIAN CARDIOLOGY INTERNAL MEDICINE
Medical Specialty

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).


Contact Information

CHRISTIAN CARDIOLOGY INTERNAL MEDICINE
113 MAIN ST
MANCHESTER, KY40962-1258
Phone: 606-598-5807
Fax:
Website:
Specialty Taxonomy Code
* Medical Specialty 261QM2500X

* Indicates primary specialty

NPI Profile & details for CHRISTIAN CARDIOLOGY INTERNAL MEDICINE

NPI Number 1801970439
Legal business name
LBN
CHRISTIAN CARDIOLOGY INTERNAL MEDICINE
Authorized official TERESA COLLATZ - (ADMINISTRATOR)
Entity Organization
Organization subpart No
Enumeration date 10/24/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • KY Medicaid: 65930133

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.

Reviews for CHRISTIAN CARDIOLOGY INTERNAL MEDICINE

There are currently no reviews for CHRISTIAN CARDIOLOGY INTERNAL MEDICINE


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