Skorupa, Eric
Skorupa, Eric is an individual health care provider with primary practice located at 2001 Reed Rd , Fort Wayne IN 46815. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Skorupa, Eric can be contacted via phone (260) 426-5663.Contact Information
Primary practice address
2001 Reed Rd
Fort Wayne IN 46815
Phone: (260) 426-5663
Fax: (260) 426-5693
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 18003907 | Indiana |
Profile Details
| NPI number | 1023490224 |
|---|---|
| LBN Legal business name | Skorupa, Eric |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 24th, 2015 |
| Last updated | Aug 15th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023490224 | NPPES |
| Indiana | Other | P01684783 | RAILROAD MEDICARE |
| Indiana | MEDICAID | 201294810 | RAILROAD MEDICARE |
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