Skoumal, Steve M

Skoumal, Steve M is an individual health care provider with primary practice located at 1950 E Clark St Suite D, Pocatello ID 83201-3314. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Skoumal, Steve M can be contacted via phone (208) 233-3794.

Contact Information

Primary practice address
1950 E Clark St Suite D Pocatello ID 83201-3314
Phone: (208) 233-3794
Fax: (208) 233-3795
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X M-7677 Idaho
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X M7677 Idaho

Profile Details

NPI number 1134279920
LBN Legal business name Skoumal, Steve M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2007
Last updated Sep 7th, 2010 - about 15 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 1134279920 NPPES
Other 820334553 TAX ID
MEDICAID 002467700 TAX ID

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