Johnson, Max Snitker
Johnson, Max Snitker is an sole proprietor health care provider with primary practice located at 106 N Delaware Ave , Roswell NM 88203-3042. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Johnson, Max Snitker can be contacted via phone (575) 624-0235.Contact Information
Primary practice address
106 N Delaware Ave
Roswell NM 88203-3042
Phone: (575) 624-0235
Fax: (575) 624-0236
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 267 | New Mexico |
Profile Details
| NPI number | 1699757039 |
|---|---|
| LBN Legal business name | Johnson, Max Snitker |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 18th, 2005 |
| Last updated | May 21st, 2012 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699757039 | NPPES |
| New Mexico | MEDICAID | P0458 |
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