Heart Clinic Of Louisville, Psc

NPI 1063687176 - Internal Medicine - 207RC0000X

NPI Details
NPI 1063687176
Enumeration Date 04/29/2008
Last Updated 05/06/2013
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name WAYNE WAYNE
Position OWNER
Phone (812) 218-9845
Fax (812) 218-9850
Practice Location
601 N SHORE DR
SUITE 102
JEFFERSONVILLE IN, 47130-3142, US
Phone (812) 218-9845
Fax (812) 218-9850
Business Location
601 N SHORE DR
SUITE 102
JEFFERSONVILLE IN, 47130-3142, US
Phone (812) 218-9845
Fax (812) 218-9850
Toxanomy
Taxonomy Code 207RC0000X
License State Indiana
License Number 01040911A
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According to our database, Heart Clinic Of Louisville, Psc NPI is 1063687176, taxonomy code is 207RC0000X and license number is 01040911A, license state is located at Indiana. Heart Clinic Of Louisville, Psc physically located at 601 N Shore Dr, Jeffersonville IN, 47130-3142. NPI Number 1033115704 has the healthcare provider type.

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1063687176 NPI number is provided on an as is basis without warranty of any kind. 1063687176 is maintained by the National Plan & Provider Enumeration System. The contents of Heart Clinic Of Louisville, Psc are for informational purposes only.