Organization
NORTHWEST INDIANA CARDIOVASCULAR PHYSICIANS, P.C.
Active
Organization
NORTHWEST INDIANA CARDIOVASCULAR PHYSICIANS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN ANTHONY FORCHETTI M.D. (PRESIDENT)
(219) 531-9419
Entity
Organization
Contact information
Practice address
2000 ROOSEVELT RD, VALPARAISO, IN 46383-2800
(219) 531-9419
(219) 531-9655
Mailing address
2000 ROOSEVELT RD, VALPARAISO, IN 46383-2800
(219) 531-9419
(219) 531-9655
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
50003781A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200076760
—
IN
01
—
90000561
BLUE SHIELD OF IL
—
01
—
CC2757
RAILROAD MEDICARE
—
Enumeration date
07/17/2006
Last updated
05/02/2008
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