Jamie L. Snyder, LMP
Individual provider Active NPI Contractor · Sultan, WA
NPI 1548601784 · NPPES record last updated Jul 16, 2013
Key facts
- NPI
- 1548601784
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Contractor 171W00000X
- License
- MA60361041 (WA)
- Practice address
- 210 Willow Ave
Sultan, WA 98294-7656 - Phone
- (425) 314-7935
- NPI assigned
- Jul 16, 2013
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA60361041 | WA | MD | Contractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | MA60361041 | WA | Yes |
Addresses
Primary practice location
210 Willow Ave
Sultan, WA 98294-7656
Mailing address
210 Willow Ave
Sultan, WA 98294-7656
Other providers in Sultan, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 16, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.