Skinner, Kentucky R
Skinner, Kentucky R is an sole proprietor health care provider with primary practice located at 230 Audubon Dr , Mandeville LA 70471. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Skinner, Kentucky R can be contacted via phone (985) 845-1501.Contact Information
Primary practice address
230 Audubon Dr
Mandeville LA 70471
Phone: (985) 845-1501
Fax: (985) 845-1601
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | CN88759 | Louisiana |
Profile Details
| NPI number | 1225245343 |
|---|---|
| LBN Legal business name | Skinner, Kentucky R |
| Credentials | O-PA/C |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 17th, 2007 |
| Last updated | Oct 18th, 2008 - about 16 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 | 1225245343 | NPPES |
| Louisiana | Other | CN88759 | NC OF ASSIST SURGEONS |
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