Gorecki, David J

Gorecki, David J is an individual health care provider with primary practice located at 901 Lincolnway Suite 310, La Porte IN 46350-3430. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Gorecki, David J can be contacted via phone (219) 362-7506.

Contact Information

Primary practice address
901 Lincolnway Suite 310 La Porte IN 46350-3430
Phone: (219) 362-7506
Fax: (219) 362-1459
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 036 070820 Illinois
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 01038951 Indiana

Profile Details

NPI number 1316923444
LBN Legal business name Gorecki, David J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2005
Last updated Sep 14th, 2020 - about 4 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 1316923444 NPPES
Indiana MEDICAID 10016541A
Indiana Other 000000514107

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