Skinner, Leslie Katrina

Skinner, Leslie Katrina is an sole proprietor health care provider with primary practice located at 19087-B Greeno Rd , Fairhope AL 36532-3899. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Skinner, Leslie Katrina can be contacted via phone (251) 928-5568.

Contact Information

Primary practice address
19087-B Greeno Rd Fairhope AL 36532-3899
Fax: (251) 928-2605
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD28869 Alabama

Profile Details

NPI number 1174799704
LBN Legal business name Skinner, Leslie Katrina
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 4th, 2008
Last updated Aug 10th, 2015 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174799704 NPPES
Alabama MEDICAID 111179

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