Healthcare Provider Details

I. General information

NPI: 1285366583
Provider Name (Legal Business Name): RACHEL A SNABES PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/27/2022
Last Update Date: 08/01/2022
Certification Date: 08/01/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10984 MIDDLEBELT RD
LIVONIA MI
48150-3058
US

IV. Provider business mailing address

14228 CARDWELL ST
LIVONIA MI
48154-4652
US

V. Phone/Fax

Practice location:
  • Phone: 734-762-0798
  • Fax:
Mailing address:
  • Phone: 248-910-0998
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: