Skouby, Jarod Dwayne

Skouby, Jarod Dwayne is an individual health care provider with primary practice located at 3165 Myrtle Ave Suite 2, Granite City IL 62040-5012. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Skouby, Jarod Dwayne can be contacted via phone (618) 876-7500.

Contact Information

Primary practice address
3165 Myrtle Ave Suite 2 Granite City IL 62040-5012
Phone: (618) 876-7500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036132100 Illinois

Profile Details

NPI number 1124345939
LBN Legal business name Skouby, Jarod Dwayne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2010
Last updated Aug 10th, 2013 - about 11 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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