Skinner, Suzie Jefferis

Skinner, Suzie Jefferis is an individual health care provider with primary practice located at 2200 Crow Ln Ste 201 , Myrtle Beach SC 29577-1663. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Skinner, Suzie Jefferis can be contacted via phone (843) 727-1000.

Contact Information

Primary practice address
2200 Crow Ln Ste 201 Myrtle Beach SC 29577-1663
Phone: (843) 727-1000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 2305202321 Virginia

Profile Details

NPI number 1912960055
LBN Legal business name Skinner, Suzie Jefferis
Credentials Master of Physical Therapy (MPT)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2006
Last updated Mar 11th, 2021 - about 3 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 1912960055 NPPES
Virginia MEDICAID 010333814
Virginia Other P00337585
Virginia Other 7801800
Virginia Other 193615
Virginia Other 193617

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