Snyder, Timothy Matthew

Snyder, Timothy Matthew is an individual health care provider with primary practice located at 915 Sagamore Pkwy W , West Lafayette IN 47906-1443. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Snyder, Timothy Matthew can be contacted via phone (765) 463-2424.

Contact Information

Primary practice address
915 Sagamore Pkwy W West Lafayette IN 47906-1443
Phone: (765) 463-2424
Fax: (765) 463-2249
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 01038504A Indiana

Profile Details

NPI number 1508828880
LBN Legal business name Snyder, Timothy Matthew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2006
Last updated Sep 14th, 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 1508828880 NPPES
Other 000000782957 ANTHEM
MEDICAID 100101850 ANTHEM
Other 10786209 ANTHEM

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