Provider Demographics
NPI:1942244983
Name:SKORPIL, AMBER MARIE (PA-C)
Entity Type:Individual
Prefix:
First Name:AMBER
Middle Name:MARIE
Last Name:SKORPIL
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 217
Mailing Address - Street 2:
Mailing Address - City:PLENTYWOOD
Mailing Address - State:MT
Mailing Address - Zip Code:59254
Mailing Address - Country:US
Mailing Address - Phone:406-765-1501
Mailing Address - Fax:406-765-1506
Practice Address - Street 1:448 W LAUREL AVE
Practice Address - Street 2:
Practice Address - City:PLENTYWOOD
Practice Address - State:MT
Practice Address - Zip Code:59254
Practice Address - Country:US
Practice Address - Phone:406-765-1501
Practice Address - Fax:406-765-1506
Is Sole Proprietor?:No
Enumeration Date:2006-06-16
Last Update Date:2011-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT139363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT0000430015Medicaid
MT000080403Medicare ID - Type Unspecified
MT0000430015Medicaid