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Contact Information

JOSEPH C SKINNER JR, CRNA
366 MDOS, SGOSA
90 HOPE DRIVE
MOUNTAIN HOME AFB, ID83648
 Phone: 208-828-7370
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Anesthetist, Certified Registered

367500000X 43 Certified Registered Nurse Anesthetist (CRNA)
Indicates primary specialty

NPI Profile & details for JOSEPH C SKINNER JR · (Male)

NPI Number 1356325666
Status Active
Credentials CRNA (Certified Registered Nurse Anesthetist)
Entity Individual
Enumeration date 11/30/2005
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • ID License # RNA648A
Hospital affiliation(s)
  • MEMORIAL HOSPITAL OF CARBON COUNTY - (Critical Access)
    2221 WEST ELM STREET
    RAWLINS, WY 82301
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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