Skidmore, Brett D.
Skidmore, Brett D. is an individual health care provider with primary practice located at 1760 E Pecos Rd Ste 101 , Gilbert AZ 85295-3201. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Skidmore, Brett D. can be contacted via phone (480) 553-8999.Contact Information
Primary practice address
1760 E Pecos Rd Ste 101
Gilbert AZ 85295-3201
Phone: (480) 553-8999
Fax: (480) 553-8989
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 20604 | Arizona |
Profile Details
| NPI number | 1528048394 |
|---|---|
| LBN Legal business name | Skidmore, Brett D. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 18th, 2006 |
| Last updated | Apr 7th, 2016 - about 9 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 | 1528048394 | NPPES |
| Arizona | MEDICAID | 524258 |
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