Skidmore, Annette

Skidmore, Annette is an individual health care provider with primary practice located at 2050 Meadowview Pkwy , Kingsport TN 37660-7332. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Skidmore, Annette can be contacted via phone (423) 230-5000.

Contact Information

Primary practice address
2050 Meadowview Pkwy Kingsport TN 37660-7332
Phone: (423) 230-5000
Fax: (423) 230-5010
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 269 Tennessee

Profile Details

NPI number 1225063480
LBN Legal business name Skidmore, Annette
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2006
Last updated Jul 9th, 2007 - about 17 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 1225063480 NPPES
Virginia MEDICAID 8923442

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