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Contact Information

SKYLER S WORTHINGTON, PA-C
156 6TH ST
POTLATCH, ID83855
 Phone: 208-875-2380
 Fax: 208-875-2303
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for SKYLER S WORTHINGTON · (Male)

NPI # 1992091722
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 06/20/2011
Last updated 07/19/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • ID License # PA-1825
Hospital affiliation(s)
  • GRITMAN MEDICAL CENTER - (Critical Access)
    700 SOUTH MAIN STREET
    MOSCOW, ID 83843
  • PULLMAN REGIONAL HOSPITAL - (Critical Access)
    835 S BISHOP BLVD
    PULLMAN, WA 99163
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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