Snook, Lori J

Snook, Lori J is an individual health care provider with primary practice located at 2016 S Main St , Maryville MO 64468-2655. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Snook, Lori J can be contacted via phone (660) 562-2525.

Contact Information

Primary practice address
2016 S Main St Maryville MO 64468-2655
Phone: (660) 562-2525
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 101096 Missouri
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 02941 Iowa

Profile Details

NPI number 1669477972
LBN Legal business name Snook, Lori J
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2005
Last updated Oct 4th, 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 1669477972 NPPES
Missouri Other P00647173 RR MEDICARE
Missouri MEDICAID 1126946 RR MEDICARE
Missouri MEDICAID 1669477972 RR MEDICARE
Missouri MEDICAID 200586110A RR MEDICARE

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