Skroch, Michael J
Skroch, Michael J is an sole proprietor health care provider with primary practice located at 21601 76Th Avenue West , Edmonds WA 98026-7507. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Skroch, Michael J can be contacted via phone (425) 640-4000.Contact Information
Primary practice address
21601 76Th Avenue West
Edmonds WA 98026-7507
Phone: (425) 640-4000
Fax: (425) 640-4010
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA10003431 | Washington |
Profile Details
| NPI number | 1235299678 |
|---|---|
| LBN Legal business name | Skroch, Michael J |
| Credentials | PA C |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 8th, 2006 |
| Last updated | Jun 3rd, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235299678 | NPPES |
| Washington | Other | 0143598 | LABOR AND INDUSTRIES |
| Washington | MEDICAID | 8318693 | LABOR AND INDUSTRIES |
| Washington | Other | 0143756 | LABOR AND INDUSTRIES |
| Washington | Other | 0562SK | LABOR AND INDUSTRIES |
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