Skinner, Jonathan L.

Skinner, Jonathan L. is an sole proprietor health care provider with primary practice located at 105 Professional Ln , Dothan AL 36303-3875. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Skinner, Jonathan L. can be contacted via phone (334) 699-0060.

Contact Information

Primary practice address
105 Professional Ln Dothan AL 36303-3875
Fax: (334) 699-0061
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 18574 Alabama

Profile Details

NPI number 1730184912
LBN Legal business name Skinner, Jonathan L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 15th, 2005
Last updated May 24th, 2022 - about 4 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 1730184912 NPPES
Alabama MEDICAID 135159
Alabama Other 000097074

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