Individual
JEFFREY TODD SNYDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11111 S 84TH ST, PAPILLION, NE 68046-4122
(402) 593-3550
Mailing address
4750 HEMPSTEAD STATION DR, KETTERING, OH 45429-5164
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
22538
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01267
BCBS NE
NE
05
—
0298455
—
IA
05
—
100249951-00
—
NE
05
—
100251147-00
—
NE
05
—
100251217-00
—
NE
01
—
35465
WELLMARK BCBS
IA
05
—
4298455
—
IA
05
—
5298455
—
IA
Enumeration date
05/16/2006
Last updated
09/24/2008
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