Skillern, Maurice

Skillern, Maurice is an individual health care provider with primary practice located at 4131 Kirby Pkwy Ste 1 , Memphis TN 38115-6500. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Skillern, Maurice can be contacted via phone (706) 536-3272.

Contact Information

Primary practice address
4131 Kirby Pkwy Ste 1 Memphis TN 38115-6500
Phone: (706) 536-3272
Fax: (833) 903-2341
Website:
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Health care specialties

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

Profile Details

NPI number 1073525903
LBN Legal business name Skillern, Maurice
Credentials DMS-PA
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2006
Last updated Nov 10th, 2021 - about 5 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 1073525903 NPPES
Tennessee MEDICAID Q038355

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