Provider Demographics
NPI:1558320465
Name:ESKRITT, NYLES RICHARD (MD)
Entity Type:Individual
Prefix:DR
First Name:NYLES
Middle Name:RICHARD
Last Name:ESKRITT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3508 E MARIA DR
Mailing Address - Street 2:
Mailing Address - City:STEVENS POINT
Mailing Address - State:WI
Mailing Address - Zip Code:54481-1334
Mailing Address - Country:US
Mailing Address - Phone:715-344-4573
Mailing Address - Fax:715-344-4356
Practice Address - Street 1:3508 E MARIA DR
Practice Address - Street 2:
Practice Address - City:STEVENS POINT
Practice Address - State:WI
Practice Address - Zip Code:54481-1334
Practice Address - Country:US
Practice Address - Phone:715-344-4573
Practice Address - Fax:715-344-4356
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-20
Last Update Date:2008-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI16752207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI31165000Medicaid
WIB52665Medicare UPIN
WI000050035Medicare ID - Type UnspecifiedMEDICARE