Skillrud, David M
Skillrud, David M is an sole proprietor health care provider with primary practice located at 652 W Jackson St , Morton IL 61550-1536. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Skillrud, David M can be contacted via phone (309) 266-8880.Contact Information
Primary practice address
652 W Jackson St
Morton IL 61550-1536
Phone: (309) 266-8880
Fax: (309) 266-8889
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 036-070507 | Illinois |
Profile Details
| NPI number | 1568573764 |
|---|---|
| LBN Legal business name | Skillrud, David M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Feb 27th, 2020 - about 6 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 | 1568573764 | NPPES |
| Illinois | Other | 005732063 | BLUE CROSS BLUE SHIELD |
| Illinois | Other | 005145 | BLUE CROSS BLUE SHIELD |
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