Skeem, Randall J

Skeem, Randall J is an individual health care provider with primary practice located at 801 Pole Line Rd W , Twin Falls ID 83301-5810. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Skeem, Randall J can be contacted via phone (208) 814-4100.

Contact Information

Primary practice address
801 Pole Line Rd W Twin Falls ID 83301-5810
Phone: (208) 814-4100
Fax: (208) 814-4908
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X M3636 Idaho
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X M3636 Idaho

Profile Details

NPI number 1699717066
LBN Legal business name Skeem, Randall J
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Sep 6th, 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 1699717066 NPPES
Idaho MEDICAID 000787500
Idaho Other P00029398

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