Skidmore, Christopher T.
Skidmore, Christopher T. is an individual health care provider with primary practice located at 909 Walnut Street Cob, 2Nd Flr, Philadelphia PA 19107-5509. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Clinical Neurophysiology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Skidmore, Christopher T. can be contacted via phone (215) 955-1234.Contact Information
Primary practice address
909 Walnut Street Cob, 2Nd Flr
Philadelphia PA 19107-5509
Phone: (215) 955-1234
Fax: (215) 955-3745
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | MD426410 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Clinical Neurophysiology | 2084N0600X | MD426410 | Pennsylvania |
Profile Details
| NPI number | 1194746719 |
|---|---|
| LBN Legal business name | Skidmore, Christopher T. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 21st, 2006 |
| Last updated | Nov 19th, 2014 - about 11 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 | 1194746719 | NPPES |
| Pennsylvania | MEDICAID | 101381853 | |
| Pennsylvania | MEDICAID | 0073466 |
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