Skowronski, Jechezkiel Jack

Skowronski, Jechezkiel Jack is an sole proprietor health care provider with primary practice located at 1 Widger Rd , Marblehead MA 01945. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Skowronski, Jechezkiel Jack can be contacted via phone (781) 631-5454.

Contact Information

Primary practice address
1 Widger Rd Marblehead MA 01945
Phone: (781) 631-5454
Fax: (781) 631-2601
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 37423 Massachusetts

Profile Details

NPI number 1518913326
LBN Legal business name Skowronski, Jechezkiel Jack
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 25th, 2006
Last updated Mar 27th, 2012 - about 13 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 1518913326 NPPES
Massachusetts MEDICAID 2039478

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