Snodgrass, Corinthiann Viola

Snodgrass, Corinthiann Viola is an individual health care provider with primary practice located at 6701 Jefferson St Ne , Albuquerque NM 87109-4318. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Snodgrass, Corinthiann Viola can be contacted via phone (505) 727-6200.

Contact Information

Primary practice address
6701 Jefferson St Ne Albuquerque NM 87109-4318
Fax: (505) 727-9590
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA2019-0028 New Mexico

Profile Details

NPI number 1538729439
LBN Legal business name Snodgrass, Corinthiann Viola
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2019
Last updated Apr 19th, 2023 - 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 1538729439 NPPES
New Mexico MEDICAID 55508251

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