Snyder, Russell Owen
Snyder, Russell Owen is an individual health care provider with primary practice located at 5170 Us Rt 60 East , Huntington WV 25705-2065. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Snyder, Russell Owen can be contacted via phone (304) 528-4600.Contact Information
Primary practice address
5170 Us Rt 60 East
Huntington WV 25705-2065
Phone: (304) 528-4600
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 24446 | West Virginia |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | TRN11115 | Florida |
Profile Details
| NPI number | 1366635112 |
|---|---|
| LBN Legal business name | Snyder, Russell Owen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 24th, 2007 |
| Last updated | May 7th, 2021 - about 5 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 | 1366635112 | NPPES |
| Ohio | MEDICAID | 3140587 | |
| Ohio | MEDICAID | 3810020506 | |
| Ohio | Other | P00928935 |
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