Skorick, Kristine M

Skorick, Kristine M is an individual health care provider with primary practice located at 8766 East Hwy 69 Humboldt Unified School District 22 Special Services Of, Prescott Valley AZ 86314. She recently has only one registered license in Nursing Service Providers / School, which is considered as her primary health care specialty. Skorick, Kristine M can be contacted via phone (928) 759-4028.

Contact Information

Primary practice address
8766 East Hwy 69 Humboldt Unified School District 22 Special Services Of Prescott Valley AZ 86314
Phone: (928) 759-4028
Fax: (928) 759-4030
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / School 163WS0200X RN063950 Arizona

Profile Details

NPI number 1295950319
LBN Legal business name Skorick, Kristine M
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 16th, 2007
Last updated Jul 8th, 2007 - about 17 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 1295950319 NPPES
Arizona MEDICAID 580276

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