Snyder, Lisa E.

Snyder, Lisa E. is an individual health care provider with primary practice located at 6501 N Sheridan Rd , Peoria IL 61614-2932. She recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as her primary health care specialty. Snyder, Lisa E. can be contacted via phone (309) 692-8110.

Contact Information

Primary practice address
6501 N Sheridan Rd Peoria IL 61614-2932
Phone: (309) 692-8110
Fax: (309) 692-8673
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 036-073903 Illinois

Profile Details

NPI number 1790715092
LBN Legal business name Snyder, Lisa E.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2006
Last updated Jun 15th, 2010 - about 16 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 1790715092 NPPES
Illinois Other 009033 HEALTH ALLIANCE PROVIDER
Illinois MEDICAID 036073903 HEALTH ALLIANCE PROVIDER
Illinois Other 250004431 HEALTH ALLIANCE PROVIDER
Illinois Other 370681567-02 HEALTH ALLIANCE PROVIDER

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