National Provider Identifier Database

WADE T SKARDOUTOS, CP – NPI #1346427069
Prosthetist

An individual skilled in the practice, making, use, and application to individual cases of an artificial substitute for a missing body part, such as an arm or leg, eye or tooth, used for functional or cosmetic reasons, or both


Contact Information

WADE T SKARDOUTOS, CP
3350 SCOTT BLVD STE 6301
191 SAN FELIPE RD. STE M1 HOLLISTER, CA 95023
SANTA CLARA, CA95054
Phone: 408-845-9245
Fax: 408-845-9259
Website:
Specialty Taxonomy Code
* Prosthetist 224P00000X

* Indicates primary specialty

NPI Profile & details for WADE T SKARDOUTOS

NPI Number 1346427069
Credentials CP
Entity Individual
Enumeration date 01/24/2008
Last updated 06/17/2015 - About 11 years ago
Sole proprietor1 No
Identifiers
  • MI License #: CP003200
Hospital affiliation n/a

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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