Skovgaard, Samuel Roth

Skovgaard, Samuel Roth is an individual health care provider with primary practice located at 519 S Peabody St , Port Angeles WA 98362-6229. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Skovgaard, Samuel Roth can be contacted via phone (360) 417-7000.

Contact Information

Primary practice address
519 S Peabody St Port Angeles WA 98362-6229
Fax: (360) 565-9241
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD61321058 Washington

Profile Details

NPI number 1184088155
LBN Legal business name Skovgaard, Samuel Roth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2016
Last updated Oct 4th, 2022 - about 2 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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