Snyder, Jequita Dawn

Snyder, Jequita Dawn is an individual health care provider with primary practice located at 106 Nw Veterans Blvd , Miami OK 74354-1818. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Snyder, Jequita Dawn can be contacted via phone (918) 238-3074.

Contact Information

Primary practice address
106 Nw Veterans Blvd Miami OK 74354-1818
Fax: (918) 238-3076
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4583 Oklahoma

Profile Details

NPI number 1255511309
LBN Legal business name Snyder, Jequita Dawn
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 6th, 2007
Last updated Jul 9th, 2021 - about 3 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 1255511309 NPPES
Oklahoma MEDICAID 200133230A

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