Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | 15984 | WV |
NPI | 1033101761 |
---|---|
Provider Name | Stephanie A Skolik |
First Address | Huntington, WV 25701-3840 |
Second Address | Huntington, WV 25701-3840 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/08/2005 |
Last Update Date | 29/05/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0042669-000 | (05) | WV |
2067212 | (05) | OH |
64697600 | (05) | KY |
F57024 | (02) | WV |