Snyderman, David Alan
Snyderman, David Alan is an individual health care provider with primary practice located at 848 S La Cassia Dr , Boise ID 83705-2253. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Snyderman, David Alan can be contacted via phone (208) 344-0086.Contact Information
Primary practice address
848 S La Cassia Dr
Boise ID 83705-2253
Phone: (208) 344-0086
Fax: (208) 466-5359
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA286 | Idaho |
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA-286 | Idaho |
Profile Details
NPI number | 1750342739 |
---|---|
LBN Legal business name | Snyderman, David Alan |
Credentials | PAC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 30th, 2006 |
Last updated | Nov 27th, 2023 - about last year |
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 | 1750342739 | NPPES |
Other | 1665280 | CIGNA MEDICARE | |
MEDICAID | 805539500 | CIGNA MEDICARE |
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