Snyder, Russell Owen

Snyder, Russell Owen is an individual health care provider with primary practice located at 5170 Us Rt 60 East , Huntington WV 25705-2065. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Snyder, Russell Owen can be contacted via phone (304) 528-4600.

Contact Information

Primary practice address
5170 Us Rt 60 East Huntington WV 25705-2065
Phone: (304) 528-4600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 24446 West Virginia
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X TRN11115 Florida

Profile Details

NPI number 1366635112
LBN Legal business name Snyder, Russell Owen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2007
Last updated May 7th, 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 1366635112 NPPES
Ohio MEDICAID 3140587
Ohio MEDICAID 3810020506
Ohio Other P00928935

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