Skala, Timothy W

Skala, Timothy W is an sole proprietor health care provider with primary practice located at 11940 Business Blvd Suite #102, Eagle River AK 99577-7742. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Skala, Timothy W can be contacted via phone (907) 694-2807.

Contact Information

Primary practice address
11940 Business Blvd Suite #102 Eagle River AK 99577-7742
Fax: (907) 694-7110
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD 1211 Alaska

Profile Details

NPI number 1770648776
LBN Legal business name Skala, Timothy W
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 27th, 2006
Last updated Jul 8th, 2007 - about 19 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 1770648776 NPPES
Alaska MEDICAID MD 1211

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