Skillingstead, Jeff David

Skillingstead, Jeff David is an sole proprietor health care provider with primary practice located at 1329 Broadway St Suite 200, Longview WA 98632-3747. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Skillingstead, Jeff David can be contacted via phone (360) 431-6908.

Contact Information

Primary practice address
1329 Broadway St Suite 200 Longview WA 98632-3747
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LH60225625 Washington

Profile Details

NPI number 1609919562
LBN Legal business name Skillingstead, Jeff David
Credentials MAC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 14th, 2007
Last updated Dec 7th, 2011 - about 14 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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