Skillman, Jon A
Skillman, Jon A is an sole proprietor health care provider with primary practice located at 233 Williamsburg Sq , Owensboro KY 42303-6473. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Skillman, Jon A can be contacted via phone (270) 684-7274.Contact Information
Primary practice address
233 Williamsburg Sq
Owensboro KY 42303-6473
Phone: (270) 684-7274
Fax: (270) 684-3151
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 0773DT | Kentucky |
Profile Details
| NPI number | 1891861936 |
|---|---|
| LBN Legal business name | Skillman, Jon A |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 28th, 2006 |
| Last updated | Feb 19th, 2013 - about 13 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 | 1891861936 | NPPES |
| Kentucky | MEDICAID | 77007730 |
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