| Doctor Name: | MR. THOMAS EDWARD SNOWBALL |
| NPI Number: | 1033430905 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | EMT-BASIC |
| License Number: | 17965 |
| Business Practice Address: | 100 Indian Hills Drive Omaha Tribal Rescue 100 Indian Hills Drive Macy, NE - 680390250 |
| Business Phone Number: | 4028375381 |
| Business Fax Number: | 4028375303 |
| Mailing Address: | P.o. Box 772, 504 Hochunk Plaza #3 WINNEBAGO |
| State: | NE |
| Postal Code: | 68071 |
| Phone Number: | 7122044717 |
| Fax Number: | |
| NPI Enumeration Date: | 06/15/2010 |
| NPI Last Update Date: | 06/15/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 146N00000X |
| License Number: | 17965 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NE |
| Taxonomy Type: | Emergency Medical Service Providers |
| Taxonomy Classification: | Emergency Medical Technician, Basic |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards. |