Skotnicki, Robert Alan

Skotnicki, Robert Alan is an individual health care provider with primary practice located at 1400 N Us Highway 441 Suite 810, The Villages FL 32159-8975. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Skotnicki, Robert Alan can be contacted via phone (352) 674-8700.

Contact Information

Primary practice address
1400 N Us Highway 441 Suite 810 The Villages FL 32159-8975
Phone: (352) 674-8700
Fax: (352) 674-8714
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X OS004652L Pennsylvania
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X OS13035 Florida

Profile Details

NPI number 1215930334
LBN Legal business name Skotnicki, Robert Alan
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2005
Last updated Mar 20th, 2015 - about 9 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 1215930334 NPPES
Pennsylvania MEDICAID 0011376640001
Pennsylvania Other 060012838

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