Snider-Thammavong, Erica G

Snider-Thammavong, Erica G is an individual health care provider with primary practice located at 5 Sycamore Creek Dr , Springboro OH 45066-2300. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Snider-Thammavong, Erica G can be contacted via phone (937) 748-4211.

Contact Information

Primary practice address
5 Sycamore Creek Dr Springboro OH 45066-2300
Phone: (937) 748-4211
Fax: (937) 748-3566
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 237301 New York
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35.094616 Ohio

Profile Details

NPI number 1811045198
LBN Legal business name Snider-Thammavong, Erica G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2007
Last updated Nov 13th, 2013 - about 11 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 1811045198 NPPES
New York MEDICAID 02705888
New York MEDICAID 0058539

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