Skoda, Michael J

Skoda, Michael J is an sole proprietor health care provider with primary practice located at 26777 Lorain Rd Ste 403 , North Olmsted OH 44070. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Skoda, Michael J can be contacted via phone (440) 220-6926.

Contact Information

Primary practice address
26777 Lorain Rd Ste 403 North Olmsted OH 44070
Phone: (440) 220-6926
Fax: (440) 220-7750
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LICDC.141063 Ohio
Behavioral Health & Social Service Providers / Mental Health 101YM0800X E.1000455-SUPV Ohio

Profile Details

NPI number 1891092128
LBN Legal business name Skoda, Michael J
Credentials LPCC-S, LICDC, SAP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 23rd, 2011
Last updated Aug 23rd, 2018 - about 8 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 1891092128 NPPES
Ohio MEDICAID 0206683

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