Goretsky, Marybeth

Goretsky, Marybeth is an individual health care provider with primary practice located at 4200 Hospital Rd , Coal Township PA 17866-9668. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Goretsky, Marybeth can be contacted via phone (570) 644-4325.

Contact Information

Primary practice address
4200 Hospital Rd Coal Township PA 17866-9668
Phone: (570) 644-4325
Fax: (570) 644-4293
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X MA001317L Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X MA001317L Pennsylvania

Profile Details

NPI number 1174813521
LBN Legal business name Goretsky, Marybeth
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2011
Last updated Dec 21st, 2020 - about 4 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 1174813521 NPPES
Pennsylvania Other MA001417L PA LICENSE NUMBER

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