Provider Demographics
NPI:1144400268
Name:FRANKLIN CARDIAC CENTER LLC
Entity Type:Organization
Organization Name:FRANKLIN CARDIAC CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:K
Authorized Official - Last Name:ASHPOLE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:414-427-2380
Mailing Address - Street 1:7400 W RAWSON AVE
Mailing Address - Street 2:SUITE 243
Mailing Address - City:FRANKLIN
Mailing Address - State:WI
Mailing Address - Zip Code:53132-8278
Mailing Address - Country:US
Mailing Address - Phone:414-427-2380
Mailing Address - Fax:414-425-8553
Practice Address - Street 1:7400 W RAWSON AVE
Practice Address - Street 2:SUITE 243
Practice Address - City:FRANKLIN
Practice Address - State:WI
Practice Address - Zip Code:53132-8278
Practice Address - Country:US
Practice Address - Phone:414-427-2380
Practice Address - Fax:414-425-8553
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-06
Last Update Date:2007-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI21276200Medicaid
WI01835Medicare PIN