Ed Snell is a Nutrition Support in Pocatello, Idaho. Ed Snell practices all healthcare services and medical treatments related to Nutrition Support. The NPI Number for Ed Snell is 1104828870. The last update date is 2007-07-08.
Ed Snell's current location address is 1015 E Young St, Pocatello, Idaho. You can contact this provider via phone number 2082320049 and fax number 2082323963. The mailing address for Ed Snell is 1015 E Young St, Pocatello, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ed Snell |
|---|---|
| Address | 1015 E Young St, Pocatello, Idaho |
| Phone Number | 2082320049 |
| Fax Number | 2082323963 |
| Sole Proprietor | X |
| Credentials | RPH |
NPI Number Detail
| NPI Number | 1104828870 |
|---|---|
| Provider Enumeration Date | 2005-08-12 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1015 E Young St |
|---|---|
| City | Pocatello |
| State | Idaho (ID) |
| Post Code | 832015282 |
| Phone Number | 2082320049 |
| Fax Number | 2082323963 |
Provider's Primary Taxonomy Detail
| Speciality | Nutrition Support |
|---|---|
| Taxonomy | 1835N1003X |
| Licence No | P4033 |
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Definition: A licensed pharmacist who has demonstrated specialized knowledge and skill in maintenance and/or restoration of optimal nutritional status, designing and modifying treatment according to patient needs. |
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What is the unique 10-digit identification code issued to Ed Snell by the Centers for Medicare & Medicaid Services?
The Ed Snell has been assigned the NPI (National Provider Identifier) 1104828870 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Ed Snell?
The Ed Snell is situated at 1015 E Young St, in the city of Pocatello, state of ID, with the zip code 832015282.
What is the area of specialization for Ed Snell, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Ed Snell is Nutrition Support, and the corresponding taxonomy code that categorizes this area of expertise is 1835N1003X.
On what date did the Ed Snell receive the assignment of its 1104828870 from the Centers for Medicare & Medicaid Services?
The Ed Snell was issued its 1104828870 by the Centers for Medicare & Medicaid Services on 2005-08-12.
When was the information related to Ed Snell most recently updated or refreshed?
The details pertaining to the Ed Snell, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.