Skidmore, Blake

Skidmore, Blake is an individual health care provider with primary practice located at 399 E Main St , Columbus OH 43215-5384. He recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as his primary health care specialty. Skidmore, Blake can be contacted via phone (614) 355-8550.

Contact Information

Primary practice address
399 E Main St Columbus OH 43215-5384
Phone: (614) 355-8550
Fax: (614) 355-8593
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X S.1002032 Ohio

Profile Details

NPI number 1033453089
LBN Legal business name Skidmore, Blake
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2012
Last updated Nov 15th, 2012 - about 14 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 1033453089 NPPES
Ohio MEDICAID 2846675

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