Snyder, Stacy L
Snyder, Stacy L is an individual health care provider with primary practice located at 615 N Michigan St 4Th Fl , South Bend IN 46601-1033. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology, which is considered as her primary health care specialty. Snyder, Stacy L can be contacted via phone (574) 647-6892.Contact Information
Primary practice address
615 N Michigan St 4Th Fl
South Bend IN 46601-1033
Phone: (574) 647-6892
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology | 2080P0207X | 01082192A | Indiana |
Profile Details
| NPI number | 1477896348 |
|---|---|
| LBN Legal business name | Snyder, Stacy L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 29th, 2013 |
| Last updated | May 1st, 2023 - about 2 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 | 1477896348 | NPPES |
| Indiana | MEDICAID | 300026335 |
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