Skinner, Jacqulyn M.
Skinner, Jacqulyn M. is an sole proprietor health care provider with primary practice located at 601 W Main St , Spartanburg SC 29301-2105. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Skinner, Jacqulyn M. can be contacted via phone (864) 612-1500.Contact Information
Primary practice address
601 W Main St
Spartanburg SC 29301-2105
Phone: (864) 612-1500
Fax: (864) 542-2324
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 006994 | South Carolina |
Profile Details
| NPI number | 1255543799 |
|---|---|
| LBN Legal business name | Skinner, Jacqulyn M. |
| Credentials | LISW-CP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 4th, 2007 |
| Last updated | Mar 10th, 2014 - about 10 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 | 1255543799 | NPPES |
| South Carolina | Other | Q351330281 | MEDICARE PTAN |
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