Blaskiewicz, Marcie Ann

Blaskiewicz, Marcie Ann is an individual health care provider with primary practice located at 1095 Texas Palmyra Hwy Ste 1 , Honesdale PA 18431-7687. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Blaskiewicz, Marcie Ann can be contacted via phone (570) 616-0665.

Contact Information

Primary practice address
1095 Texas Palmyra Hwy Ste 1 Honesdale PA 18431-7687
Phone: (570) 616-0665
Fax: (570) 616-0669
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 023393 Pennsylvania

Profile Details

NPI number 1821532144
LBN Legal business name Blaskiewicz, Marcie Ann
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2016
Last updated Nov 2nd, 2020 - about 5 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 1821532144 NPPES
Pennsylvania MEDICAID 1032684160002

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