Gesek-Clark, Beatrix

Gesek-Clark, Beatrix is an individual health care provider with primary practice located at 100 Cummings Ctr Suite 166D, Beverly MA 01915-6115. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Gesek-Clark, Beatrix can be contacted via phone (978) 712-3360.

Contact Information

Primary practice address
100 Cummings Ctr Suite 166D Beverly MA 01915-6115
Phone: (978) 712-3360
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X NP89164 Massachusetts

Profile Details

NPI number 1154430841
LBN Legal business name Gesek-Clark, Beatrix
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2006
Last updated Apr 10th, 2013 - about 11 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 1154430841 NPPES
Massachusetts MEDICAID 0706230
Massachusetts Other NP2312

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