Skinner, Stephen R

Skinner, Stephen R is an individual health care provider with primary practice located at 747 52Nd Street , Oakland CA 94609. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Skinner, Stephen R can be contacted via phone (510) 428-3238.

Contact Information

Primary practice address
747 52Nd Street Oakland CA 94609
Fax: (510) 601-3904
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X G53281 California

Profile Details

NPI number 1528024569
LBN Legal business name Skinner, Stephen R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2006
Last updated May 13th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528024569 NPPES
California MEDICAID 00G532810

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