Provider Demographics
NPI:1073582136
Name:SNYDER, LEONARD PAUL (DC)
Entity Type:Individual
Prefix:DR
First Name:LEONARD
Middle Name:PAUL
Last Name:SNYDER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6448 LOWER YORK RD
Mailing Address - Street 2:
Mailing Address - City:NEW HOPE
Mailing Address - State:PA
Mailing Address - Zip Code:18938-5696
Mailing Address - Country:US
Mailing Address - Phone:215-862-2538
Mailing Address - Fax:215-862-0207
Practice Address - Street 1:6448 LOWER YORK RD
Practice Address - Street 2:
Practice Address - City:NEW HOPE
Practice Address - State:PA
Practice Address - Zip Code:18938-5696
Practice Address - Country:US
Practice Address - Phone:215-862-2538
Practice Address - Fax:215-862-0207
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-14
Last Update Date:2008-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC002229L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA2548015OtherAETNA HMO
PA4487851OtherAETNA
PA0023322000OtherKEYSTONE
PAP2576170OtherOXFORD
PA0023322000OtherKEYSTONE
PAU07496Medicare UPIN