Provider Demographics
NPI:1487837241
Name:SKMP ENTERPRISES, INC.
Entity Type:Organization
Organization Name:SKMP ENTERPRISES, INC.
Other - Org Name:ACCESS AMBULANCE SERVICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP / TREASURER
Authorized Official - Prefix:MR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:PANICO
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:203-996-2208
Mailing Address - Street 1:PO BOX 188
Mailing Address - Street 2:
Mailing Address - City:NORTH HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06473-0188
Mailing Address - Country:US
Mailing Address - Phone:203-637-2351
Mailing Address - Fax:203-698-2150
Practice Address - Street 1:279 NOBLE AVE
Practice Address - Street 2:
Practice Address - City:BRIDGEPORT
Practice Address - State:CT
Practice Address - Zip Code:06608-2210
Practice Address - Country:US
Practice Address - Phone:203-637-2351
Practice Address - Fax:203-698-2150
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-14
Last Update Date:2007-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTL015P23416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport