Children's Heart Care Clinic LLC

Organization Pediatric Cardiology Physician · NPI 1114257052

Children's Heart Care Clinic LLC provides Pediatric Cardiology Physician services in Fortville, Indiana. Licensed in Indiana. Registered with an NPI since 2009.

Licensed in: IN
In the registry since: 2009

What do these letters mean?

LLC — Limited liability company: A form of business registration, not a clinical qualification.

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Practice location Address checks out

14328 Waterway Blvd
Fortville, IN 46040-9455 Not confirmed with CMS for 15 years — call before visiting
Phone: (646) 234-8354

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Cardiology Physician (primary)	Taxonomy 2080P0202X · Licence 01063650A (IN)

Record details

NPI number	1114257052
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Steven Todman — Evp And Chief Medical Officer · (646) 234-8354
NPI enumerated	December 26, 2009
Last updated in NPPES	February 15, 2011
Mailing address	14328 Waterway Blvd, Fortville, IN 46040-9455