Durak, Gary M

Durak, Gary M is an individual health care provider with primary practice located at 7 Napoleon St , Valparaiso IN 46383-4725. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Durak, Gary M can be contacted via phone (219) 464-7678.

Contact Information

Primary practice address
7 Napoleon St Valparaiso IN 46383-4725
Phone: (219) 464-7678
Fax: (219) 464-0941
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 20090233A Indiana

Profile Details

NPI number 1609812767
LBN Legal business name Durak, Gary M
Credentials PH D
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2006
Last updated Jun 8th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609812767 NPPES
Michigan Other P57840001 PTAN

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