Cermak, Marybeth
Cermak, Marybeth is an individual health care provider with primary practice located at 300 State St Suite 205, Erie PA 16507-1427. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hand Surgery, which is considered as her primary health care specialty. Cermak, Marybeth can be contacted via phone (814) 456-6022.Contact Information
Primary practice address
300 State St Suite 205
Erie PA 16507-1427
Phone: (814) 456-6022
Fax: (814) 456-7040
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hand Surgery | 207XS0106X | MD043782E | Pennsylvania |
| Allopathic & Osteopathic Physicians / Hand Surgery | 207XS0106X | 15185 | West Virginia |
Profile Details
| NPI number | 1730109513 |
|---|---|
| LBN Legal business name | Cermak, Marybeth |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 21st, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730109513 | NPPES |
| Pennsylvania | MEDICAID | 0001203483001 |
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