Individual
THOMAS V SKEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1300 N MAIN ST, RUSHVILLE, IN 46173-1116
(765) 932-7520
(765) 932-7505
Mailing address
PO BOX 608, RUSHVILLE, IN 46173-0608
(765) 932-7520
(765) 932-7505
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
28055891A
IN
367500000X
Certified Registered Nurse Anesthetist
Primary
28055891A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000818891
ANTHEM BCBS
IN
05
—
200063800A
—
IN
Enumeration date
05/20/2006
Last updated
07/16/2013
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