Skelton, Brandon W
Skelton, Brandon W is an individual health care provider with primary practice located at 611 Alcorn Dr , Corinth MS 38834-9321. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Skelton, Brandon W can be contacted via phone (662) 821-1837.Contact Information
Primary practice address
611 Alcorn Dr
Corinth MS 38834-9321
Phone: (662) 821-1837
Fax: (662) 680-5103
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 46706 | Tennessee |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 21303 | Mississippi |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | 0116018271 | Virginia |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 0101240781 | Virginia |
Profile Details
| NPI number | 1346460367 |
|---|---|
| LBN Legal business name | Skelton, Brandon W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 1st, 2007 |
| Last updated | Jul 6th, 2021 - about 5 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 | 1346460367 | NPPES |
| Mississippi | MEDICAID | 03755729 | |
| Mississippi | MEDICAID | 1524269 |
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