Skoruppa, Jacob D

Skoruppa, Jacob D is an sole proprietor health care provider with primary practice located at 5929 Brightwood Dr , Corpus Christi TX 78414-3029. He recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Surgical Technologist, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Skoruppa, Jacob D can be contacted via phone (361) 876-6689.

Contact Information

Primary practice address
5929 Brightwood Dr Corpus Christi TX 78414-3029
Phone: (361) 876-6689
Fax: (361) 336-0217
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Surgical Technologist 246ZS0410X SA00374 Texas
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X SA00374 Texas

Profile Details

NPI number 1215113022
LBN Legal business name Skoruppa, Jacob D
Credentials LSA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 11th, 2008
Last updated Mar 12th, 2023 - about 3 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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