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NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

ETHAN L SNYDER, PA-C
368 E RIVERSIDE DR
SUITE A
SAINT GEORGE, UT84790-6896
 Phone: 435-215-1611
 Fax: 435-673-1182
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for ETHAN L SNYDER · (Male)

NPI Number 1386876761
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 08/18/2009
Last updated 03/24/2011 - About 6 years ago
Sole proprietor 1 No
Identifiers
UT License # 7426326-1206
UT License # 7426326-8906
Hospital affiliation(s) n/a
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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