| Ole Snyder Md A Medical Corporation | |
|
354 Santa Fe Dr Encinitas CA 92024-5142 | |
| (760) 203-1116 | |
| (951) 527-5655 |
| Full Name | Ole Snyder Md A Medical Corporation |
|---|---|
| Speciality | Family Medicine |
| Location | 354 Santa Fe Dr, Encinitas, California |
| Authorized Official Name and Position | Ole Snyder (OWNER) |
| Authorized Official Contact | 7602031116 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ole Snyder Md A Medical Corporation Po Box 230073 Encinitas CA 92023-0073 Ph: (760) 203-1116 | Ole Snyder Md A Medical Corporation 354 Santa Fe Dr Encinitas CA 92024-5142 Ph: (760) 203-1116 |
| NPI Number | 1750160883 |
|---|---|
| Provider Enumeration Date | 09/27/2023 |
| Last Update Date | 09/27/2023 |
| Medicare PECOS PAC ID | 5991151466 |
|---|---|
| Medicare Enrollment ID | O20231020000352 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750160883 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Ole W Snyder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275557415 PECOS PAC ID: 3476602640 Enrollment ID: I20090518000427 |
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