CHESTER JOSEPH SKROCKI DO NPI 1427274331

NPI Information

NPI: 1427274331
Provider Name: CHESTER JOSEPH SKROCKI, DO
Classification: Family Medicine - 207QA0505X
Entity Type: Individual

Specialization: Adult Medicine

Address:
605 WOODS LANE
GROSSE POINTE WOODS, MI
ZIP 48236
Phone: (313) 881-9398
Get Directions

Chester Joseph Skrocki, DO is an adult medicine family medicine in Grosse Pointe Woods, MI. The provider is the National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code. Chester Joseph Skrocki, DO NPI is 1427274331. 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:

605 WOODS LANE
GROSSE POINTE WOODS, MI
ZIP 48236-160
Phone: (313) 881-9398
Fax: (313) 886-1491

The enumeration date for this NPI number is 4/18/2007 and was last updated on 7/8/2007.

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	207QA0505X	Family Medicine	Adult Medicine	00003652	MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1012409	MEDICAID	MICHIGAN
2	E25636	MEDICARE ID-TYPE UNSPECIFIED	MICHIGAN
3	E25636	MEDICARE UPIN
4	3652	OTHER		MICH LIC

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: 5/5/2024

NPI Synchronization or Removal

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