Provider Demographics
NPI:1952539264
Name:SNAIR, TRISHA (DO)
Entity Type:Individual
Prefix:
First Name:TRISHA
Middle Name:
Last Name:SNAIR
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24701 EUCLID AVE
Mailing Address - Street 2:THIRD FLOOR - BILLING SERVICES
Mailing Address - City:EUCLID
Mailing Address - State:OH
Mailing Address - Zip Code:44117-1714
Mailing Address - Country:US
Mailing Address - Phone:440-845-1500
Mailing Address - Fax:440-845-9227
Practice Address - Street 1:6707 POWERS BLVD STE 203
Practice Address - Street 2:
Practice Address - City:PARMA
Practice Address - State:OH
Practice Address - Zip Code:44129-5464
Practice Address - Country:US
Practice Address - Phone:440-845-1500
Practice Address - Fax:440-845-9227
Is Sole Proprietor?:No
Enumeration Date:2009-06-25
Last Update Date:2013-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5315041662183500000X
MI5101018370208000000X
OH34-010459208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0065994Medicaid