Skidmore, Grant Alan
Skidmore, Grant Alan is an individual health care provider with primary practice located at 300 Medical Pkwy Ste 200 , Chesapeake VA 23320-4985. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Skidmore, Grant Alan can be contacted via phone (757) 625-4455.Contact Information
Primary practice address
300 Medical Pkwy Ste 200
Chesapeake VA 23320-4985
Phone: (757) 625-4455
Fax: (757) 625-1829
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | 0101052264 | Virginia |
Profile Details
| NPI number | 1972502466 |
|---|---|
| LBN Legal business name | Skidmore, Grant Alan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 18th, 2005 |
| Last updated | Feb 4th, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972502466 | NPPES |
| Virginia | Other | 140004458 | RAILROAD MEDICARE |
| Virginia | MEDICAID | 006102441 | RAILROAD MEDICARE |
| Virginia | Other | 0569J | RAILROAD MEDICARE |
| Virginia | Other | 076448 | RAILROAD MEDICARE |
| Virginia | Other | 15591 | RAILROAD MEDICARE |
| Virginia | Other | 229060 | RAILROAD MEDICARE |
| Virginia | Other | 4668815 | RAILROAD MEDICARE |
| Virginia | Other | 149158900 | RAILROAD MEDICARE |
| Virginia | Other | 790569J | RAILROAD MEDICARE |
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