Skinner, Roland L

Skinner, Roland L is an individual health care provider with primary practice located at 800 E Cheves St Suite 380, Florence SC 29506-2650. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Skinner, Roland L can be contacted via phone (843) 665-4104.

Contact Information

Primary practice address
800 E Cheves St Suite 380 Florence SC 29506-2650
Phone: (843) 665-4104
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 10392 South Carolina

Profile Details

NPI number 1104993807
LBN Legal business name Skinner, Roland L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2006
Last updated Mar 2nd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104993807 NPPES
South Carolina Other 039 TRICARE
South Carolina MEDICAID 103925 TRICARE
South Carolina Other 5120202(PIN) TRICARE
South Carolina Other 069 TRICARE
South Carolina Other 4002967 TRICARE
South Carolina Other D055848552 TRICARE
South Carolina Other 068 TRICARE
South Carolina Other 224300 TRICARE

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