Skinner, Michelle Marie

Skinner, Michelle Marie is an individual health care provider with primary practice located at 2401 Brandermill Blvd , Gambrills MD 21054-1690. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Skinner, Michelle Marie can be contacted via phone (410) 721-1507.

Contact Information

Primary practice address
2401 Brandermill Blvd Gambrills MD 21054-1690
Fax: (410) 721-1510
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2747 West Virginia

Profile Details

NPI number 1497076814
LBN Legal business name Skinner, Michelle Marie
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2010
Last updated Sep 15th, 2015 - 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 1497076814 NPPES
West Virginia MEDICAID 3810026534

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