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SKYLER INGEMANSSON PA-C NPI 1942548482

NPI Profile

NPI: 1942548482

Provider Name: SKYLER INGEMANSSON, PA-C

Classification: Physician Assistant - 363AM0700X

Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
151 N SUNRISE AVE
ROSEVILLE, CA
ZIP 95661

Phone: (916) 782-1217

Skyler Ingemansson, PA-C is a medical physician assistant in Roseville, CA. Skyler Ingemansson, PA-C NPI is 1942548482. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

151 N SUNRISE AVE
ROSEVILLE, CA
ZIP 95661-924
Phone: (916) 782-1217
Fax: (916) 782-7630

The NPI 1942548482 is registered in the Medicare Provider, Enrollment, Chain and Ownership System PECOS.

The enumeration date for this NPI number is 1/17/2013 and was last updated on 4/28/2015.

Map - Location of Practice

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 363AM0700X Physician Assistant Medical 22784 CALIFORNIA Yes

What is NPI?
NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 8/11/2015