Provider Demographics
NPI:1164537130
Name:SNIEZEK, DAVID PAUL (DC, MD, FAAIM)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:PAUL
Last Name:SNIEZEK
Suffix:
Gender:M
Credentials:DC, MD, FAAIM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:908 NEW HAMPSHIRE AVE NW STE 500
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20037-2352
Mailing Address - Country:US
Mailing Address - Phone:202-296-3555
Mailing Address - Fax:202-296-0214
Practice Address - Street 1:908 NEW HAMPSHIRE AVE NW
Practice Address - Street 2:#500
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20037-2346
Practice Address - Country:US
Practice Address - Phone:202-296-3555
Practice Address - Fax:202-296-0214
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-20
Last Update Date:2019-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104000271111N00000X
DCCH30035111N00000X
DC171100000X
VA171100000X
DC17362208100000X
VA44421208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
No111N00000XChiropractic ProvidersChiropractor
No171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC14170001OtherBLUECROSS BLUESHIELD
DC028403700Medicaid
DC028403700Medicaid
DCSN588404Medicare PIN