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LAURA D SKORACKI, PA-C – NPI #1699708818
Medical

NPI Profile for LAURA D SKORACKI in COLUMBUS, OH.

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Contact Information

LAURA D SKORACKI, PA-C
460 W 10TH AVE
COLUMBUS, OH  43210
 Phone: 614-293-8074
 Fax:
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Medical

 363AM0700X 97 Physician Assistant
 

Physician Assistant

 363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for LAURA D SKORACKI · (Female)

NPI # 1699708818
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 07/09/2006
Last updated 12/10/2014 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • OH License # 50004177
  • TX License # PA02098
  • TX Medicaid 180584801
  • TX Other 87N109 BCBS
  • TX Other 970011588 RR MEDICARE
Hospital affiliation(s)
  • JAMES CANCER HOSPITAL & SOLOVE RESEARCH INSTITUTE - (Acute Care)
    300 WEST TENTH AVENUE
    COLUMBUS, OH 43210
  • OHIO STATE UNIVERSITY HOSPITALS - (Acute Care)
    410 WEST 10TH AVENUE
    COLUMBUS, OH 43210
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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