Provider Demographics
NPI:1578561023
Name:TORBIK, MICHALENE (DO)
Entity Type:Individual
Prefix:DR
First Name:MICHALENE
Middle Name:
Last Name:TORBIK
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1099 S TOWNSHIP BLVD
Mailing Address - Street 2:
Mailing Address - City:PITTSTON
Mailing Address - State:PA
Mailing Address - Zip Code:18640-3247
Mailing Address - Country:US
Mailing Address - Phone:570-655-1496
Mailing Address - Fax:570-883-7446
Practice Address - Street 1:1099 S TOWNSHIP BLVD
Practice Address - Street 2:
Practice Address - City:PITTSTON
Practice Address - State:PA
Practice Address - Zip Code:18640-3247
Practice Address - Country:US
Practice Address - Phone:570-655-1496
Practice Address - Fax:570-883-7446
Is Sole Proprietor?:No
Enumeration Date:2005-07-08
Last Update Date:2021-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS009734L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA42777 E222OtherGEISINGER HEALTH PLAN
PA976633OtherFIRST PRIORITY LIFE INS C
PA002135OtherFIRST PRIORITY HEALTH
PA976633OtherHIGHMARK BLUE SHIELD
PA020338000OtherBLACK LUNG
PA0017043700004Medicaid
PAG78081Medicare UPIN
PA0017043700004Medicaid
PA080135365Medicare PIN
PA013348ZGLMedicare PIN