Provider Demographics
NPI:1346338472
Name:SKAATES, LAURA V (DC)
Entity Type:Individual
Prefix:DR
First Name:LAURA
Middle Name:V
Last Name:SKAATES
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:675 COOPER RD
Mailing Address - Street 2:
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43081-8962
Mailing Address - Country:US
Mailing Address - Phone:614-895-2225
Mailing Address - Fax:614-895-0545
Practice Address - Street 1:675 COOPER RD
Practice Address - Street 2:
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43081-8962
Practice Address - Country:US
Practice Address - Phone:614-895-2225
Practice Address - Fax:614-895-0545
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-11
Last Update Date:2010-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2512111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2032697Medicaid
OHSK0833262Medicare PIN
OH2032697Medicaid