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
Phone: (918) 238-3074
Fax: (918) 238-3076
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1255511309 | NPPES |
Oklahoma | MEDICAID | 200133230A |
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