Skinner, John Robert
Skinner, John Robert is an sole proprietor health care provider with primary practice located at 508 Grace St , Waxahachie TX 75165-3046. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Skinner, John Robert can be contacted via phone (714) 536-2570.Contact Information
Primary practice address
508 Grace St
Waxahachie TX 75165-3046
Phone: (714) 536-2570
Fax: (972) 709-5786
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 2-3650 | Texas |
Profile Details
| NPI number | 1609810092 |
|---|---|
| LBN Legal business name | Skinner, John Robert |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 15th, 2006 |
| Last updated | Feb 19th, 2010 - about 16 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 | 1609810092 | NPPES |
| Texas | MEDICAID | 133709903 | |
| Texas | MEDICAID | 133709905 | |
| Texas | MEDICAID | 133709902 | |
| Texas | Other | 86087A |
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