Organization Name: | SKS ASSISTING |
NPI Number: | 1518325919 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SANDRA K SEWARD (OWNER) |
Mailing Address: | 11 Calle Pinon Placitas |
State: | NM US |
Postal Code: | 870439316 |
Phone Number: | 5054015264 |
Fax Number: | |
NPI Enumeration Date: | 02/01/2016 |
NPI Last Update Date: | 02/03/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AS0400X |
License Number: | 00F339 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NM |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Surgical |
Taxonomy Definition: |