Jonathan Skipper

Individual provider Active NPI Case Manager/Care Coordinator · Saint Martinville, LA

NPI 1679021869 · NPPES record last updated May 21, 2018

Key facts

NPI
1679021869
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
142 Labbe St
Saint Martinville, LA 70582
Phone
(619) 451-6210
NPI assigned
Sep 15, 2016
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

142 Labbe St
Saint Martinville, LA 70582

Mailing address

100 Asma Blvd Ste 200
Lafayette, LA 70508-3868
Phone (619) 451-6210

Other providers in Saint Martinville, LA

All providers in Saint Martinville, LA · Case Manager/Care Coordinator in Louisiana

Sources for this page

Verify at the official NPI Registry.