Skidmore, Mickey

Skidmore, Mickey is an individual health care provider with primary practice located at 926 2Nd St Ne Suite #306, Hickory NC 28601-3869. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Skidmore, Mickey can be contacted via phone (828) 302-3434.

Contact Information

Primary practice address
926 2Nd St Ne Suite #306 Hickory NC 28601-3869
Phone: (828) 302-3434
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X C000177 North Carolina

Profile Details

NPI number 1811982010
LBN Legal business name Skidmore, Mickey
Credentials ACSW, LCSW
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2005
Last updated Jul 9th, 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 1811982010 NPPES
North Carolina MEDICAID 6002624
North Carolina Other C4769
North Carolina Other 2091760
North Carolina Other 3221
North Carolina Other 76734

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