Sklavos, Victoria

Sklavos, Victoria is an individual health care provider with primary practice located at 21844 23 Mile Rd , Macomb MI 48042-4422. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is her primary health care specialty. Sklavos, Victoria can be contacted via phone (586) 598-8115.

Contact Information

Primary practice address
21844 23 Mile Rd Macomb MI 48042-4422
Phone: (586) 598-8115
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 4704301101 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 4704301101 Michigan

Profile Details

NPI number 1356975916
LBN Legal business name Sklavos, Victoria
Credentials NURSE PRACTITIONER
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2020
Last updated Mar 18th, 2021 - about 5 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 1356975916 NPPES
Michigan MEDICAID 1627723

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