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NPI Code Detail

MEDICARE: DR. SEAN PATRICK SKINNER D.C.

MEDICARE:  DR. SEAN PATRICK SKINNER  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
1111N00000XChiropractor011636NY
2390200000XStudent in an Organized Health Care Education/Training Program
3111N00000XChiropractor0104556699VA
4111N00000XChiropractor3917NC

General Provider Information

NPI Number : 1982865747
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SEAN PATRICK SKINNER D.C.
Provider Business Mailing Address
First Line : 4370 STARKEY RD.
Second Line : STE 2
City : ROANOKE
State : VA
Zip : 24018
Country : US
Telephone Number : 540-344-2000
Fax Number : 540-782-3314
Provider Business Practice Location Address
First Line : 4370 STARKEY RD.
Second Line : STE 2
City : ROANOKE
State : VA
Zip : 24018
Country : US
Telephone Number : 540-344-2000
Fax Number : 540-782-3314
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2008
Last Update Date : 05/27/2026

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Directions to “ DR. SEAN PATRICK SKINNER D.C.” Practice Location

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