Wade Thomas Skardoutos
Prosthetist
3350 Scott Blvd Ste 6301 191 San Felipe Rd. Ste M1 Hollister, Ca 95023
Santa Clara
, California 95054
Wade Thomas Skardoutos
Prosthetist
3350 Scott Blvd Ste 6301 191 San Felipe Rd. Ste M1 Hollister, Ca 95023
Santa Clara
, California 95054
(408) 845-9259
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About
Features
Specialties
- Prosthetist
Languages spoken
- English
Location
First Address
- Wade Thomas Skardoutos
- 3350 Scott Blvd Ste 6301
- Santa Clara, CA
- Zip : 95054-3125
- Fax : (408) 845-9259
- Phone : (408) 845-9245
Second Address
- Wade Thomas Skardoutos
- 3350 Scott Blvd Ste 6301 191 San Felipe Rd. Ste M1 Hollister, Ca 95023
- Santa Clara, CA
- Zip : 95054
- Fax : (408) 845-9259
- Phone : (408) 845-9245
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 224P00000X | Prosthetist | CP003200 | MI |
National Provider Identifier
| NPI | 1346427069 |
|---|---|
| Provider Name | Wade Thomas Skardoutos |
| First Address | Santa Clara, CA 95054-3125 |
| Second Address | Santa Clara, CA 95054 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/01/2008 |
| Last Update Date | 17/06/2015 |
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.