Skendzel, Jack Gerard
Skendzel, Jack Gerard is an individual health care provider with primary practice located at 2090 Woodwinds Dr , Woodbury MN 55125-2522. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Skendzel, Jack Gerard can be contacted via phone (651) 968-5801.Contact Information
Primary practice address
2090 Woodwinds Dr
Woodbury MN 55125-2522
Phone: (651) 968-5801
Fax: (651) 968-5899
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | 50769 | Colorado |
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | 57095 | Minnesota |
Profile Details
| NPI number | 1760690580 |
|---|---|
| LBN Legal business name | Skendzel, Jack Gerard |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 18th, 2007 |
| Last updated | Jul 2nd, 2015 - about 9 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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