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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 17 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 1730109513 NPPES
Pennsylvania MEDICAID 0001203483001

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