Provider Demographics
NPI:1083852909
Name:SNYDER BRACE, INC.
Entity Type:Organization
Organization Name:SNYDER BRACE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CERTIFIED ORTHOTIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:LYNNE
Authorized Official - Middle Name:SUZANNE
Authorized Official - Last Name:SNYDER
Authorized Official - Suffix:
Authorized Official - Credentials:CO
Authorized Official - Phone:573-239-6069
Mailing Address - Street 1:3700 I 70 DR SE
Mailing Address - Street 2:SUITE 104
Mailing Address - City:COLUMBIA
Mailing Address - State:MO
Mailing Address - Zip Code:65201-6522
Mailing Address - Country:US
Mailing Address - Phone:573-442-7223
Mailing Address - Fax:573-442-7224
Practice Address - Street 1:3700 I 70 DR SE
Practice Address - Street 2:SUITE 104
Practice Address - City:COLUMBIA
Practice Address - State:MO
Practice Address - Zip Code:65201-6522
Practice Address - Country:US
Practice Address - Phone:573-442-7223
Practice Address - Fax:573-442-7224
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-30
Last Update Date:2009-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier