Skamra, Carly Lynn

Skamra, Carly Lynn is an individual health care provider with primary practice located at 601 N Barker Rd Suite 110, Brookfield WI 53045-5929. She recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as her primary health care specialty. Skamra, Carly Lynn can be contacted via phone (262) 785-1964.

Contact Information

Primary practice address
601 N Barker Rd Suite 110 Brookfield WI 53045-5929
Fax: (262) 785-0610
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 60089-20 Wisconsin

Profile Details

NPI number 1275670275
LBN Legal business name Skamra, Carly Lynn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2007
Last updated Jan 22nd, 2013 - about 12 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 1275670275 NPPES
Illinois Other 036118437 BCBS
Illinois MEDICAID 32805700 BCBS
Illinois MEDICAID 036118437 BCBS

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