National Provider Identifier Database

CECIL E SNODGRASS MD INC PS
Preferred Provider Organization

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.


Contact Information

CECIL E SNODGRASS M.D. INC PS
1409 2ND ST SE
PUYALLUP, WA98372-3706
Phone: 253-770-3939
Fax: 253-770-9982
Website:
Specialty Taxonomy Code
* Preferred Provider Organization 305R00000X

* Indicates primary specialty

NPI Profile & details for CECIL E SNODGRASS M.D. INC PS

NPI Number 1386829406
Legal business name
LBN
CECIL E SNODGRASS M.D. INC PS
Authorized official DENISE SNODGRASS - (ADMINISTRATOR)
Entity Organization
Organization subpart No
Enumeration date 01/08/2008
Last updated 11/17/2009 - About 17 years ago
Sole proprietor1 Not specified
Identifiers
  • WA License #: MD00015382
  • WA Medicaid: 1517101

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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