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NPI Code Detail

MEDICARE: DR. MIMI RENEE SKOCIK D.C.

MEDICARE:  DR. MIMI RENEE SKOCIK  D.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractorDC009994PA
2111N00000XChiropractorF1-0000724DE
3111NX0800XOrthopedic ChiropractorF1-0000724DE

General Provider Information

NPI Number : 1225277437
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MIMI RENEE SKOCIK D.C.
Provider Business Mailing Address
First Line : 1111A S GOVERNORS AVE
Second Line :
City : DOVER
State : DE
Zip : 19904-6903
Country : US
Telephone Number : 302-734-2225
Fax Number : 302-734-2227
Provider Business Practice Location Address
First Line : 1111A S GOVERNORS AVE
Second Line :
City : DOVER
State : DE
Zip : 19904-6903
Country : US
Telephone Number : 302-734-2225
Fax Number : 302-734-2227
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/11/2009
Last Update Date : 06/09/2015

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Directions to “ DR. MIMI RENEE SKOCIK D.C.” Practice Location

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