Skinner, Timothy David

Skinner, Timothy David is an individual health care provider with primary practice located at 1005 Mar Walt Drive Audiology Department, Fort Walton Beach FL 32547-6707. He recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as his primary health care specialty. Skinner, Timothy David can be contacted via phone (850) 863-8232.

Contact Information

Primary practice address
1005 Mar Walt Drive Audiology Department Fort Walton Beach FL 32547-6707
Phone: (850) 863-8232
Fax: (850) 314-6833
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X AY1286 Florida

Profile Details

NPI number 1043433022
LBN Legal business name Skinner, Timothy David
Credentials AU.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2007
Last updated Jan 17th, 2017 - about 7 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 1043433022 NPPES
Florida MEDICAID 600525000

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