Snyder, Larry

Snyder, Larry is an individual health care provider with primary practice located at 34052 La Plz Suite 101, Dana Point CA 92629-2587. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Snyder, Larry can be contacted via phone (949) 496-4369.

Contact Information

Primary practice address
34052 La Plz Suite 101 Dana Point CA 92629-2587
Phone: (949) 496-4369
Fax: (949) 496-9365
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X C40002 California

Profile Details

NPI number 1902902653
LBN Legal business name Snyder, Larry
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2006
Last updated Nov 18th, 2011 - about 14 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 1902902653 NPPES
California Other W13226B MEDICARE GROUP NUMBER
California Other C40002 MEDICARE GROUP NUMBER
California Other ZZZ05180Z MEDICARE GROUP NUMBER

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