Skavysh, Alexander

Skavysh, Alexander is an individual health care provider with primary practice located at 2200 John R Wooden Dr Suite 201, Martinsville IN 46151-1863. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Skavysh, Alexander can be contacted via phone (765) 342-5415.

Contact Information

Primary practice address
2200 John R Wooden Dr Suite 201 Martinsville IN 46151-1863
Phone: (765) 342-5415
Fax: (765) 342-3415
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 01062091A Indiana
Allopathic & Osteopathic Physicians / Surgery 208600000X MD2010-0754 New Mexico
Allopathic & Osteopathic Physicians / Surgery 208600000X 042-0012180 Vermont

Profile Details

NPI number 1598782088
LBN Legal business name Skavysh, Alexander
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated May 18th, 2011 - about 14 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 1598782088 NPPES
Indiana MEDICAID 200823150
Indiana Other 200377200
Indiana Other 1104827633

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