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
Phone: (262) 785-1964
Fax: (262) 785-0610
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1275670275 | NPPES |
Illinois | Other | 036118437 | BCBS |
Illinois | MEDICAID | 32805700 | BCBS |
Illinois | MEDICAID | 036118437 | BCBS |
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