Alfred J Kobak
Gynecologist
1101 Glendale Blvd Suite 108
Valparaiso
, Indiana 46383-3767
Alfred J Kobak
Gynecologist
1101 Glendale Blvd Suite 108
Valparaiso
, Indiana 46383-3767
(219) 464-8823
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About
Features
Specialties
- Gynecologist
Languages spoken
- English
Location
First Address
- Alfred J Kobak
- 1101 Glendale Blvd Suite 108
- Valparaiso, IN
- Zip : 46383-3767
- Fax : (219) 464-8823
- Phone : (219) 531-7500
Second Address
- Alfred J Kobak
- 1101 Glendale Blvd Suite 108
- Valparaiso, IN
- Zip : 46383-3767
- Fax : (219) 464-8823
- Phone : (219) 531-7500
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207VG0400X | Gynecologist | 01020706A | IN |
National Provider Identifier
| NPI | 1083763635 |
|---|---|
| Provider Name | Alfred J Kobak |
| First Address | Valparaiso, IN 46383-3767 |
| Second Address | Valparaiso, IN 46383-3767 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/01/2007 |
| Last Update Date | 28/01/2009 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000000517692 | ANTHEM BCBS (01) | IN |
| 100318710A | (05) | IN |
| 200864600A | (05) | IN |
| D94909 | (02) | IN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.