Snyder, Mark G

Snyder, Mark G is an individual health care provider with primary practice located at 700 Pilgrim Pkwy Suite 203, Elm Grove WI 53122-2063. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Snyder, Mark G can be contacted via phone (262) 796-2850.

Contact Information

Primary practice address
700 Pilgrim Pkwy Suite 203 Elm Grove WI 53122-2063
Phone: (262) 796-2850
Fax: (262) 796-2851
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 9980 Wisconsin

Profile Details

NPI number 1609848761
LBN Legal business name Snyder, Mark G
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 3rd, 2006
Last updated Mar 17th, 2018 - about 7 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 1609848761 NPPES
Wisconsin MEDICAID 40402600

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