Gazarkiewicz, Joseph F

Gazarkiewicz, Joseph F is an individual health care provider with primary practice located at 1411 S. Woodland Avenue Suite B, Michigan City IN 46360-7170. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Gazarkiewicz, Joseph F can be contacted via phone (219) 763-1499.

Contact Information

Primary practice address
1411 S. Woodland Avenue Suite B Michigan City IN 46360-7170
Phone: (219) 763-1499
Fax: (219) 764-7025
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 20042249A Indiana

Profile Details

NPI number 1548595796
LBN Legal business name Gazarkiewicz, Joseph F
Credentials PSY.D
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2009
Last updated Apr 30th, 2012 - 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 1548595796 NPPES
Indiana MEDICAID 200958610

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