| Skin Firm, Llc | |
|
1005 E Temple St Washington Court House OH 43160-3600 | |
| (740) 208-2550 | |
| (740) 431-4447 |
| Full Name | Skin Firm, Llc |
|---|---|
| Speciality | Dermatology |
| Location | 1005 E Temple St, Washington Court House, Ohio |
| Authorized Official Name and Position | Tabitha Sue Melvin (PRESIDENT) |
| Authorized Official Contact | 7402082550 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Skin Firm, Llc 1005 E Temple St Washington Court House OH 43160-3600 Ph: (740) 208-2550 | Skin Firm, Llc 1005 E Temple St Washington Court House OH 43160-3600 Ph: (740) 208-2550 |
| NPI Number | 1285396978 |
|---|---|
| Provider Enumeration Date | 10/10/2021 |
| Last Update Date | 10/09/2023 |
| Medicare PECOS PAC ID | 7618333774 |
|---|---|
| Medicare Enrollment ID | O20230515002388 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285396978 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207N00000X | Dermatology | (* (Not Available)) | Primary |
| Provider Name | Eugene T Conte |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1316056567 PECOS PAC ID: 5890744890 Enrollment ID: I20050118000061 |
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