Skinner, Jason

Skinner, Jason is an individual health care provider with primary practice located at 2302 College Ave , Conway AR 72034-6297. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Skinner, Jason can be contacted via phone (501) 513-5793.

Contact Information

Primary practice address
2302 College Ave Conway AR 72034-6297
Phone: (501) 513-5793
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X E3733 Arkansas

Profile Details

NPI number 1891782959
LBN Legal business name Skinner, Jason
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2005
Last updated Feb 25th, 2016 - about 9 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 1891782959 NPPES
Arkansas MEDICAID 150518001

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