Clinton T Snedegar in Rockford - Gastroenterology

Clinton T Snedegar - NPI 1669413522

Clinton T Snedegar is a Gastroenterology in Rockford, Illinois. Clinton T Snedegar practices all healthcare services and medical treatments related to Gastroenterology. The NPI Number for Clinton T Snedegar is 1669413522. The last update date is 2012-01-30.

Clinton T Snedegar's current location address is 401 Roxbury Rd, Rockford, Illinois. You can contact this provider via phone number 8153977340 and fax number 8153977388. The mailing address for Clinton T Snedegar is 401 Roxbury Rd, Rockford, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Clinton T Snedegar
Address 401 Roxbury Rd, Rockford, Illinois
Phone Number 8153977340
Fax Number 8153977388
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1669413522
Provider Enumeration Date 2006-06-09
Last Updated Date 2012-01-30

Provider Mailing Address Detail

Address 401 Roxbury Rd
City Rockford
State Illinois (IL)
Post Code 611075075
Phone Number 8153977340
Fax Number 8153977388

Provider's Primary Taxonomy Detail

Speciality Gastroenterology
Taxonomy 207Rg0100X
Licence No 36-129312
Definition:
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and perf

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
692090004 IL PTAN

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FAQs about Clinton T Snedegar

What is the unique 10-digit identifier code issued to Clinton T Snedegar by the Centers for Medicare & Medicaid Services?

The Clinton T Snedegar has been assigned the NPI (National Provider Identifier) 1669413522 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where Clinton T Snedegar's facilities are situated?

The facilities of Clinton T Snedegar are physically located at the following address: 401 Roxbury Rd, Rockford, IL, 611075075.

What is Clinton T Snedegar's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Clinton T Snedegar is Gastroenterology, and the taxonomy classification code that categorizes this area of expertise is 207Rg0100X.

On what date did Clinton T Snedegar receive its 1669413522 assignment from the Centers for Medicare & Medicaid Services?

The Clinton T Snedegar was assigned its 1669413522 on 2006-06-09, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Clinton T Snedegar, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Clinton T Snedegar, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2012-01-30.

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