Snodgrass, Cecil E

Snodgrass, Cecil E is an individual health care provider with primary practice located at 3908 10Th St Se , Puyallup WA 98374-2188. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Snodgrass, Cecil E can be contacted via phone (253) 848-5951.

Contact Information

Primary practice address
3908 10Th St Se Puyallup WA 98374-2188
Phone: (253) 848-5951
Fax: (253) 845-7073
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X MD00015382 Washington
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD00015382 Washington

Profile Details

NPI number 1093780850
LBN Legal business name Snodgrass, Cecil E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2006
Last updated Nov 10th, 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 1093780850 NPPES
Washington MEDICAID 1517101

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