Skiba, Mary Ann
Skiba, Mary Ann is an individual health care provider with primary practice located at 800 W Magnolia Ave , Fort Worth TX 76104-4611. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology, which is considered as her primary health care specialty. Skiba, Mary Ann can be contacted via phone (817) 759-7000.Contact Information
Primary practice address
800 W Magnolia Ave
Fort Worth TX 76104-4611
Phone: (817) 759-7000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology | 207RH0000X | G9662 | Texas |
Profile Details
| NPI number | 1093765596 |
|---|---|
| LBN Legal business name | Skiba, Mary Ann |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 12th, 2006 |
| Last updated | Dec 21st, 2020 - about 5 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 | 1093765596 | NPPES |
| Texas | MEDICAID | 1283509-06 | |
| Texas | MEDICAID | 1283509-07 |
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