1326377375 NPI number — LAURIE ANN SNEGOSKY RN/PHN

Table of content: LAURIE ANN SNEGOSKY RN/PHN (NPI 1326377375)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1326377375 NPI number — LAURIE ANN SNEGOSKY RN/PHN

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SNEGOSKY
Provider First Name:
LAURIE
Provider Middle Name:
ANN
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
RN/PHN
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1326377375
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/13/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1805 FORD AVE N
Provider Second Line Business Mailing Address:
SUITE 200
Provider Business Mailing Address City Name:
GLENCOE
Provider Business Mailing Address State Name:
MN
Provider Business Mailing Address Postal Code:
55336-1363
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
320-864-3185
Provider Business Mailing Address Fax Number:
320-864-1484

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1805 FORD AVE N
Provider Second Line Business Practice Location Address:
SUITE 200
Provider Business Practice Location Address City Name:
GLENCOE
Provider Business Practice Location Address State Name:
MN
Provider Business Practice Location Address Postal Code:
55336-1363
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
320-864-3185
Provider Business Practice Location Address Fax Number:
320-864-1484
Provider Enumeration Date:
12/21/2009

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 163WC0400X , with the licence number:  R128648-3 , registered in the state of MN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: R1286483 . This is a "RN LICENCE NUMBER" identifier , issued by the state of ( MN ) . This identifiers is of the category "OTHER".




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