Provider Demographics
NPI:1073512844
Name:SNYDER, CHRISTOPHER S (DO)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:S
Last Name:SNYDER
Suffix:
Gender:M
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:PRMC INPATIENT SERVICES
Mailing Address - Street 2:100 E. CARROLL STREET
Mailing Address - City:SALISBURY
Mailing Address - State:MD
Mailing Address - Zip Code:21801
Mailing Address - Country:US
Mailing Address - Phone:410-543-7536
Mailing Address - Fax:410-543-7272
Practice Address - Street 1:PRMC INPATIENT SERVICES
Practice Address - Street 2:100 E. CARROLL STREET
Practice Address - City:SALISBURY
Practice Address - State:MD
Practice Address - Zip Code:21801
Practice Address - Country:US
Practice Address - Phone:410-543-7536
Practice Address - Fax:410-543-7272
Is Sole Proprietor?:No
Enumeration Date:2005-07-14
Last Update Date:2014-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDH0050497207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE0000715303Medicaid
MD720002100Medicaid
MDK230679RMedicare ID - Type Unspecified
DE0000715303Medicaid