Provider Demographics
NPI:1982608436
Name:TURK, JAMES ERIC (DO)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:ERIC
Last Name:TURK
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2802 LEONARD DR
Mailing Address - Street 2:
Mailing Address - City:VALPARAISO
Mailing Address - State:IN
Mailing Address - Zip Code:46383-7136
Mailing Address - Country:US
Mailing Address - Phone:219-531-5855
Mailing Address - Fax:219-531-1617
Practice Address - Street 1:2802 LEONARD DR
Practice Address - Street 2:
Practice Address - City:VALPARAISO
Practice Address - State:IN
Practice Address - Zip Code:46383-7136
Practice Address - Country:US
Practice Address - Phone:219-531-0355
Practice Address - Fax:219-531-2855
Is Sole Proprietor?:No
Enumeration Date:2005-06-10
Last Update Date:2024-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN02001525207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200001620BMedicaid
IN219970DMedicare ID - Type Unspecified
IN200001620BMedicaid