Mitchell Lee Skidmore
Orthotic Fitter
1399 Westgate Center Dr
Winston Salem
, North Carolina 27103-2934
Mitchell Lee Skidmore
Orthotic Fitter
1399 Westgate Center Dr
Winston Salem
, North Carolina 27103-2934
(336) 768-4869
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About
Features
Specialties
- Orthotic Fitter
Languages spoken
- English
Location
First Address
- Mitchell Lee Skidmore
- 1399 Westgate Center Dr
- Winston Salem, NC
- Zip : 27103-2934
- Fax : (336) 768-4869
- Phone : (336) 768-1933
Second Address
- Mitchell Lee Skidmore
- 1399 Westgate Center Dr
- Winston Salem, NC
- Zip : 27103-2934
- Fax : (336) 768-4869
- Phone : (336) 768-1933
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225000000X | Orthotic Fitter |
National Provider Identifier
| NPI | 1851873764 |
|---|---|
| Provider Name | Mitchell Lee Skidmore |
| First Address | Winston Salem, NC 27103-2934 |
| Second Address | Winston Salem, NC 27103-2934 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/09/2018 |
| Last Update Date | 06/09/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.