Skinner, Kurt

Skinner, Kurt is an individual health care provider with primary practice located at 3133 W March Ln Suite 2020, Stockton CA 95219-2336. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Skinner, Kurt can be contacted via phone (209) 957-5122.

Contact Information

Primary practice address
3133 W March Ln Suite 2020 Stockton CA 95219-2336
Fax: (209) 951-2348
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 8861T California

Profile Details

NPI number 1386601292
LBN Legal business name Skinner, Kurt
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2006
Last updated Sep 12th, 2013 - about 11 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1386601292 NPPES
California MEDICAID SD0088610
California Other 0694800001

Popular Providers