Snowden, Ivan T.

Snowden, Ivan T. is an individual health care provider with primary practice located at 1005 Health Center Drive , Mattoon IL 61938. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Snowden, Ivan T. can be contacted via phone (217) 258-4006.

Contact Information

Primary practice address
1005 Health Center Drive Mattoon IL 61938
Phone: (217) 258-4006
Fax: (217) 258-4120
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036-058846 Illinois

Profile Details

NPI number 1720194483
LBN Legal business name Snowden, Ivan T.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2006
Last updated Jan 5th, 2016 - about 10 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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