Skiwski, Jason Jacob
Skiwski, Jason Jacob is an individual health care provider with primary practice located at 301 Memorial Medical Pkwy , Daytona Beach FL 32117-5167. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Skiwski, Jason Jacob can be contacted via phone (407) 975-0410.Contact Information
Primary practice address
301 Memorial Medical Pkwy
Daytona Beach FL 32117-5167
Phone: (407) 975-0410
Fax: (407) 975-0407
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 64973 | Georgia |
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ME163346 | Florida |
Profile Details
NPI number | 1992715130 |
---|---|
LBN Legal business name | Skiwski, Jason Jacob |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 9th, 2006 |
Last updated | Nov 20th, 2023 - about last year |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1992715130 | NPPES |
Georgia | MEDICAID | 263645644G |
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