Laura V Skaates DC Inc
Organization Active NPI Chiropractor · Westerville, OH
NPI 1104005487 · NPPES record last updated Nov 30, 2010
Key facts
- NPI
- 1104005487
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 2512 (OH)
- Legal business name
- LAURA V SKAATES DC INC
- Practice address
- 675 Cooper Rd
Westerville, OH 43081-8962 - Phone
- (614) 895-2225
- Fax
- (614) 895-0545
- NPI assigned
- Nov 2, 2007
- Organization subpart
- No
Authorized official
- Name
- Ms. Laura V. Skaates, D.C.
- Title
- Chiropractor
- Phone
- (614) 895-2225
Practitioners 14
-
Troy Cross, DC
-
Laura V. Skaates, D.C.
-
Audrey Joy Eckles, LMT
-
John Krumm, LMT NMT
-
Marc Varckette, CH
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090812000909 | OH | Part B Supplier - Clinic/Group Practice | 0042364820 |
Receives reassigned benefits from 5 practitioners Practice locations: Westerville, OH |
National Provider Directory
Locations
675 Cooper Rd
Westerville, OH 43081
Phone (614) 892-2225
5701 N High St
Ste 110
Worthington, OH 43085
Phone (614) 847-9526
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 2512 | OH | Yes |
Addresses
Primary practice location
675 Cooper Rd
Westerville, OH 43081-8962
Mailing address
675 Cooper Rd
Westerville, OH 43081-8962
Phone (614) 895-2225
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2032697 | Medicaid | OH |
Other names
- Skaates Family Chiropractic
Other providers in Westerville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 30, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.