Skillman, Jennifer Lyon

Skillman, Jennifer Lyon is an individual health care provider with primary practice located at 2025 S Galisteo , Santa Fe NM 87505. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Skillman, Jennifer Lyon can be contacted via phone (505) 995-4901.

Contact Information

Primary practice address
2025 S Galisteo Santa Fe NM 87505
Phone: (505) 995-4901
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2001-104 New Mexico

Profile Details

NPI number 1518935386
LBN Legal business name Skillman, Jennifer Lyon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2006
Last updated Dec 12th, 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 1518935386 NPPES
New Mexico MEDICAID 76438007
New Mexico Other 10008300
New Mexico Other 1829629
New Mexico Other NM009J47
New Mexico Other PROVP16140

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