Skaggs, Gary H
Skaggs, Gary H is an sole proprietor health care provider with primary practice located at 5520 S Santa Aurelia Ave , Sierra Vista AZ 85650-9373. He recently has only one registered license in Respite Care Facility / Respite Care, Mental Illness, Child, which is considered as his primary health care specialty. Skaggs, Gary H can be contacted via phone (520) 803-7130.Contact Information
Primary practice address
5520 S Santa Aurelia Ave
Sierra Vista AZ 85650-9373
Phone: (520) 803-7130
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respite Care Facility / Respite Care, Mental Illness, Child | 385HR2055X | 5737 | Arizona |
Profile Details
| NPI number | 1487840021 |
|---|---|
| LBN Legal business name | Skaggs, Gary H |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 18th, 2007 |
| Last updated | Sep 19th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487840021 | NPPES |
| Arizona | MEDICAID | 660567 |
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