Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | 0437902 | KS |
N | 207W00000X | Ophthalmologist | 2015009832 | MO |
NPI | 1033360094 |
---|---|
Provider Name | Matthew C Sniegowski |
First Address | Leawood, KS 66211-1669 |
Second Address | Leawood, KS 66211-1669 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/10/2008 |
Last Update Date | 08/07/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1033360094 | (05) | MO |
405A00012 | MEDICARE PTAN (01) | MO |
405E00016 | MEDICARE PTAN (01) | KS |