Skillman, Jeffrey
Skillman, Jeffrey is an individual health care provider with primary practice located at 118 Herron Street , Ft Oglethorpe GA 30742. He recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as his primary health care specialty. Skillman, Jeffrey can be contacted via phone (706) 861-7471.Contact Information
Primary practice address
118 Herron Street
Ft Oglethorpe GA 30742
Phone: (706) 861-7471
Fax: (706) 861-7472
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SLP005265 | Georgia |
Profile Details
| NPI number | 1952463317 |
|---|---|
| LBN Legal business name | Skillman, Jeffrey |
| Credentials | SPEECH THERAPIST SPE |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 14th, 2006 |
| Last updated | Jul 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952463317 | NPPES |
| Tennessee | Other | 4093393 | BCBS |
| Tennessee | Other | 52153690001 | BCBS |
| Tennessee | Other | 339889 | BCBS |
| Tennessee | MEDICAID | 50367080A | BCBS |
| Tennessee | Other | 10052533 | BCBS |
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