Skummer, Philip Thomas
Skummer, Philip Thomas is an individual health care provider with primary practice located at 744 S Webster Ave , Green Bay WI 54301-3505. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, which is considered as his primary health care specialty. Skummer, Philip Thomas can be contacted via phone (920) 433-6084.Contact Information
Primary practice address
744 S Webster Ave
Green Bay WI 54301-3505
Phone: (920) 433-6084
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 76025-20 | Wisconsin |
Profile Details
| NPI number | 1104386911 |
|---|---|
| LBN Legal business name | Skummer, Philip Thomas |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 20th, 2019 |
| Last updated | Aug 25th, 2026 - about 2 months 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 | 1104386911 | NPPES |
| Wisconsin | MEDICAID | 100180781 |
Popular Providers
-
Greene, Justin Lee
744 S Webster Ave , Green Bay WI 54301-3581 -
Jazmati, Tarek
2845 Greenbrier Rd , Green Bay WI 54311-6519 -
Bielke, Dennis J
2941 S Ridge Rd , Green Bay WI 54304-5517 -
Sproat, Ian A
2941 S Ridge Rd , Green Bay WI 54304-5517 -
Smyth, Ronan H
2941 S Ridge Rd , Green Bay WI 54304-5517 -
Picotte, James Patrick
744 S Webster Ave , Green Bay WI 54301-3505 -
Ballo, Bela R.
1789 Shawano Ave , Green Bay WI 54303-3243 -
Itagaki, Michael W.
2845 Greenbrier Rd , Green Bay WI 54311-6519