Healthcare Provider Details

I. General information

NPI: 1528058104
Provider Name (Legal Business Name): SARAH MAUREEN SNYDER P.A.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MISS SARAH MAUREEN VETTER

II. Dates (important events)

Enumeration Date: 10/25/2005
Last Update Date: 10/02/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6480 HARRISON AVENUE SUITE 201
CINCINNATI OH
45241-6378
US

IV. Provider business mailing address

6480 HARRISON AVENUE SUITE 100
CINCINNATI OH
45241-6378
US

V. Phone/Fax

Practice location:
  • Phone: 513-354-3700
  • Fax: 513-354-7651
Mailing address:
  • Phone: 513-354-3700
  • Fax: 513-354-7601

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License Number50-00-2027
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: