Dudeck, Marissa

Dudeck, Marissa is an individual health care provider with primary practice located at 1086 Franklin St , Johnstown PA 15905-4305. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Dudeck, Marissa can be contacted via phone (814) 534-9600.

Contact Information

Primary practice address
1086 Franklin St Johnstown PA 15905-4305
Phone: (814) 534-9600
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X MA050660 Pennsylvania

Profile Details

NPI number 1588718787
LBN Legal business name Dudeck, Marissa
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2007
Last updated Jul 8th, 2007 - about 18 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 1588718787 NPPES
Pennsylvania Other MA050660 MEDICAL LICENSE

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