Snyderman, Jonathan Lee

Snyderman, Jonathan Lee is an sole proprietor health care provider with primary practice located at 5225 23Rd Ave S , Fargo ND 58104-7927. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Snyderman, Jonathan Lee can be contacted via phone (701) 417-2575.

Contact Information

Primary practice address
5225 23Rd Ave S Fargo ND 58104-7927
Phone: (701) 417-2575
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X OS10864 Florida
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 5315022836 Michigan
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 19215 North Dakota

Profile Details

NPI number 1871796128
LBN Legal business name Snyderman, Jonathan Lee
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 6th, 2007
Last updated May 6th, 2024 - about 7 months 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 1871796128 NPPES
Florida MEDICAID 002737100

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