Gorniak, Mary Ruth

Gorniak, Mary Ruth is an individual health care provider with primary practice located at 1 Wyoming St , Dayton OH 45409-2722. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Gorniak, Mary Ruth can be contacted via phone (937) 208-2007.

Contact Information

Primary practice address
1 Wyoming St Dayton OH 45409-2722
Phone: (937) 208-2007
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X NP-00786 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X NM-00661 Ohio

Profile Details

NPI number 1699817874
LBN Legal business name Gorniak, Mary Ruth
Credentials CNM, FNP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2007
Last updated Mar 7th, 2023 - about 2 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 1699817874 NPPES
Ohio MEDICAID 2190650

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