Gary M. Durak, Ph.D., P.C.

LBN: Gary M. Durak, Ph.D., P.C.
Gary M. Durak, Ph.D., P.C. is an health care organization with primary practice located at 307 Jefferson St , Valparaiso IN 46383-4823. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Gary M. Durak, Ph.D., P.C. can be contacted via phone (219) 464-7678, or through Durak, Gary M. via phone (219) 464-7678.

Contact Information

Primary practice address
307 Jefferson St Valparaiso IN 46383-4823
Phone: (219) 464-7678
Fax: (219) 462-8351
Website:
Map and Directions
Authorized official contact:
Name: Durak, Gary M. PH.D.
Phone: (219) 464-7678

Health care specialties

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

Profile Details

NPI number 1821249079
LBN Legal business name Gary M. Durak, Ph.D., P.C.
DBA Doing business as
Authorized official Durak, Gary M. PH.D.
Entity Organization
Organization subpart 1 No
Enumeration date Oct 7th, 2008
Last updated Sep 24th, 2009 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821249079 NPPES
Indiana MEDICAID 100298960A

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