Skidmore, Allen R

Skidmore, Allen R is an individual health care provider with primary practice located at 16528 E Desmet Ct , Spokane Valley WA 99216-3522. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Skidmore, Allen R can be contacted via phone (509) 944-9440.

Contact Information

Primary practice address
16528 E Desmet Ct Spokane Valley WA 99216-3522
Fax: (509) 227-7070
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 26688 South Carolina
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD00046129 Washington

Profile Details

NPI number 1053306100
LBN Legal business name Skidmore, Allen R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2005
Last updated Mar 19th, 2021 - about 3 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 1053306100 NPPES
Washington MEDICAID 8459372

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