Skinner, Robert L

Skinner, Robert L is an individual health care provider with primary practice located at 3451 Goodman Rd Ste 115, Southaven MS 38672-9304. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Skinner, Robert L can be contacted via phone (662) 890-5555.

Contact Information

Primary practice address
3451 Goodman Rd Ste 115 Southaven MS 38672-9304
Phone: (662) 890-5555
Fax: (662) 890-8899
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 16397 Mississippi
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X DO0000001485 Tennessee

Profile Details

NPI number 1558363689
LBN Legal business name Skinner, Robert L
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2005
Last updated Jun 21st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558363689 NPPES
Mississippi Other 080194851 MEDICARE RAILROAD

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