Skidmore, Sharon B

Skidmore, Sharon B is an sole proprietor health care provider with primary practice located at 1109 N Forest Edge Dr , Sisters OR 97759-2692. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is her primary health care specialty. Skidmore, Sharon B can be contacted via phone (907) 346-4096.

Contact Information

Primary practice address
1109 N Forest Edge Dr Sisters OR 97759-2692
Phone: (907) 346-4096
Fax: (877) 319-7365
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 783 Alaska
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 10338 Massachusetts
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PTL.0003243 Colorado
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 2251P0200X 783 Alaska
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 2251P0200X 2623 Oregon
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 2251P0200X PTL.0003243 Colorado
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 2623 Oregon

Profile Details

NPI number 1215036751
LBN Legal business name Skidmore, Sharon B
Credentials P.T., D.P.T.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 21st, 2006
Last updated Jun 22nd, 2021 - about 4 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 1215036751 NPPES
Oregon Other 2623 OR BOARD OF PHYSICAL THERAPY
Oregon MEDICAID 1029669 OR BOARD OF PHYSICAL THERAPY
Oregon Other 783 OR BOARD OF PHYSICAL THERAPY
Oregon Other PTL.0003243 OR BOARD OF PHYSICAL THERAPY
Oregon MEDICAID 500783631 OR BOARD OF PHYSICAL THERAPY

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