Skibo, Emily Ellen
Skibo, Emily Ellen is an sole proprietor health care provider with primary practice located at 4200 Ilberry Rd , Mount Vernon IL 62864-6748. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Skibo, Emily Ellen can be contacted via phone (618) 242-6338.Contact Information
Primary practice address
4200 Ilberry Rd
Mount Vernon IL 62864-6748
Phone: (618) 242-6338
Fax: (618) 242-0465
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Optometrist | 152W00000X | 046.009973 | Illinois |
Profile Details
NPI number | 1124225180 |
---|---|
LBN Legal business name | Skibo, Emily Ellen |
Credentials | Doctor of Optometry (OD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 2nd, 2007 |
Last updated | Mar 17th, 2015 - about 10 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 | 1124225180 | NPPES |
Illinois | Other | P00650602 CA2196 | MEDICARE RAILROAD |
Illinois | MEDICAID | 046009973 | MEDICARE RAILROAD |
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