Skousen, Derek John
Skousen, Derek John is an individual health care provider with primary practice located at 300 Twining St Bldg 760 , Maxwell Afb AL 36112-6027. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Skousen, Derek John can be contacted via phone (334) 953-5200.Contact Information
Primary practice address
300 Twining St Bldg 760
Maxwell Afb AL 36112-6027
Phone: (334) 953-5200
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | D011512 | Arizona |
Profile Details
| NPI number | 1366184947 |
|---|---|
| LBN Legal business name | Skousen, Derek John |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 12th, 2022 |
| Last updated | Aug 9th, 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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