Drutarovsky, Holly Marie

Drutarovsky, Holly Marie is an individual health care provider with primary practice located at 1000 E Mountain Blvd , Wilkes Barre PA 18711-0027. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Drutarovsky, Holly Marie can be contacted via phone (570) 808-7300.

Contact Information

Primary practice address
1000 E Mountain Blvd Wilkes Barre PA 18711-0027
Phone: (570) 808-7300
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X OA004573 Pennsylvania
Allopathic & Osteopathic Physicians / Neurology 2084N0400X MA060011 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X MA060011 Pennsylvania

Profile Details

NPI number 1184103764
LBN Legal business name Drutarovsky, Holly Marie
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 14th, 2018
Last updated Aug 31st, 2020 - about 6 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 1184103764 NPPES
Pennsylvania Other MA060011 PENNSYLVANIA STATE BOARD OF MEDICINE LICENSE
Pennsylvania Other OA004573 PENNSYLVANIA STATE BOARD OF MEDICINE LICENSE

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