Snyder, Gerald A

Snyder, Gerald A is an individual health care provider with primary practice located at 2300 N Edward St , Decatur IL 62526-4163. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Snyder, Gerald A can be contacted via phone (217) 876-3000.

Contact Information

Primary practice address
2300 N Edward St Decatur IL 62526-4163
Phone: (217) 876-3000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X Illinois

Profile Details

NPI number 1104921170
LBN Legal business name Snyder, Gerald A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2006
Last updated Jul 9th, 2007 - about 18 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 1104921170 NPPES
Illinois Other 05823820 BCBS
Illinois MEDICAID 036049906-4 BCBS

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