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:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1811045198 | NPPES |
New York | MEDICAID | 02705888 | |
New York | MEDICAID | 0058539 |
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