Skalla, Craig Kevin

Skalla, Craig Kevin is an sole proprietor health care provider with primary practice located at 1326 Eisenhower Dr , Savannah GA 31406-3928. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Skalla, Craig Kevin can be contacted via phone (912) 691-4100.

Contact Information

Primary practice address
1326 Eisenhower Dr Savannah GA 31406-3928
Fax: (912) 691-4289
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 694 Georgia

Profile Details

NPI number 1265570691
LBN Legal business name Skalla, Craig Kevin
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 1st, 2007
Last updated Jan 24th, 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 1265570691 NPPES
Georgia MEDICAID 000591093B

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