Korach, Jay L.

Korach, Jay L. is an individual health care provider with primary practice located at 7905 Calumet Hammond Clinic Llc, Munster IN 46321-1215. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Korach, Jay L. can be contacted via phone (219) 836-5800.

Contact Information

Primary practice address
7905 Calumet Hammond Clinic Llc Munster IN 46321-1215
Phone: (219) 836-5800
Fax: (219) 836-8073
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 036085791 Illinois
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 01062709 Indiana

Profile Details

NPI number 1306823570
LBN Legal business name Korach, Jay L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2005
Last updated Oct 28th, 2014 - about 10 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 1306823570 NPPES
Indiana MEDICAID 200863860
Indiana MEDICAID 036085791

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