Skinner, John P.

Skinner, John P. is an individual health care provider with primary practice located at 4919 Dixie Hwy Suite J, Louisville KY 40216-2554. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Skinner, John P. can be contacted via phone (502) 449-3400.

Contact Information

Primary practice address
4919 Dixie Hwy Suite J Louisville KY 40216-2554
Phone: (502) 449-3400
Fax: (502) 449-3838
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 6401 Kentucky

Profile Details

NPI number 1689662553
LBN Legal business name Skinner, John P.
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2005
Last updated Jul 8th, 2007 - about 18 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 1689662553 NPPES
Kentucky MEDICAID 60064011

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