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Contact Information

DANIEL W BALCERAK, PA-C
2250 173RD ST
HAMMOND, IN46323-2074
 Phone: 765-494-0111
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
 

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for DANIEL W BALCERAK · (Male)

NPI # 1356602460
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 06/05/2012
Last updated 03/30/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 10001437A
Hospital affiliation(s)
  • FRANCISCAN ST ANTHONY HEALTH - MICHIGAN CITY - (Acute Care)
    301 W HOMER ST
    MICHIGAN CITY, IN 46360
  • PORTER VALPARAISO HOSPITAL - (Acute Care)
    85 EAST US HWY 6
    VALPARAISO, IN 46383
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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