Skotnicki, Tessa Caitlin

Skotnicki, Tessa Caitlin is an individual health care provider with primary practice located at 320 Sunnyview Ln , Kalispell MT 59901-3129. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Skotnicki, Tessa Caitlin can be contacted via phone (406) 752-7441.

Contact Information

Primary practice address
320 Sunnyview Ln Kalispell MT 59901-3129
Phone: (406) 752-7441
Fax: (406) 257-0304
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 574 West Virginia
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA2013-0093 New Mexico
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 57605 Montana

Profile Details

NPI number 1184989634
LBN Legal business name Skotnicki, Tessa Caitlin
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2012
Last updated Nov 27th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1184989634 NPPES
New Mexico MEDICAID 75658071

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