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
Fax: (618) 242-0465
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124225180 NPPES
Illinois Other P00650602 CA2196 MEDICARE RAILROAD
Illinois MEDICAID 046009973 MEDICARE RAILROAD

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