Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2081P2900X | Pain Medicine | MD0000012878 | TN |
N | 2084N0400X | Neurologist | MD0000012878 | TN |
NPI | 1043387624 |
---|---|
Provider Name | Moacir Schnapp |
First Address | Memphis, TN 38101-0205 |
Second Address | Memphis, TN 38120-2366 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/11/2006 |
Last Update Date | 16/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0055919 | BLUE CROSS TN (01) | TN |
0542019 | UNITED HEALTHCARE (01) | |
2625763 | CIGNA (01) | |
3184412 | (05) | TN |
4057013 | AETNA (01) | |
B04128 | (02) |