Healthcare Provider Details
I. General information
NPI: 1346261922
Provider Name (Legal Business Name): CYNTHIA S. ROMINGER CFA
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/21/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8433 HARCOURT RD SUITE 100
INDIANAPOLIS IN
46260-2190
US
IV. Provider business mailing address
8433 HARCOURT RD SUITE 100
INDIANAPOLIS IN
46260-2190
US
V. Phone/Fax
- Phone: 317-583-7600
- Fax: 317-583-7601
- Phone: 317-583-7600
- Fax: 317-583-7601
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 246XC2903X |
| Taxonomy | Vascular Specialist/Technologist Cardiovascular |
| License Number | 00F744 |
| License Number State | IN |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: