Snedaker, Justin Richard

Snedaker, Justin Richard is an individual health care provider with primary practice located at 801 W Maple St , Farmington NM 87401-5630. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Snedaker, Justin Richard can be contacted via phone (505) 609-2000.

Contact Information

Primary practice address
801 W Maple St Farmington NM 87401-5630
Phone: (505) 609-2000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN589897 Pennsylvania

Profile Details

NPI number 1992028088
LBN Legal business name Snedaker, Justin Richard
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 4th, 2010
Last updated Jul 26th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992028088 NPPES
New Mexico MEDICAID 40929051
New Mexico MEDICAID 1992028088
New Mexico MEDICAID 67406203
New Mexico MEDICAID 634505
New Mexico Other NMAAA1458

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