Kark, Deborah Louise

Kark, Deborah Louise is an sole proprietor health care provider with primary practice located at 300 N Main St Ste D , Crown Point IN 46307-3281. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Kark, Deborah Louise can be contacted via phone (219) 663-4877.

Contact Information

Primary practice address
300 N Main St Ste D Crown Point IN 46307-3281
Phone: (219) 663-4877
Fax: (219) 663-4877
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 71000240A Indiana

Profile Details

NPI number 1477659605
LBN Legal business name Kark, Deborah Louise
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 15th, 2006
Last updated Jul 28th, 2022 - about 2 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 1477659605 NPPES
Indiana Other IN2007002 MEDICARE#
Indiana MEDICAID 200118190 MEDICARE#

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