Provider Demographics
NPI:1194213116
Name:SNYDER FAMILY CHIROPRACTIC, LLC
Entity Type:Organization
Organization Name:SNYDER FAMILY CHIROPRACTIC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR/ACUPUNCTURIST
Authorized Official - Prefix:
Authorized Official - First Name:JENA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:SNYDER
Authorized Official - Suffix:
Authorized Official - Credentials:DC, LAC
Authorized Official - Phone:260-627-2276
Mailing Address - Street 1:P.O. BOX 410
Mailing Address - Street 2:
Mailing Address - City:LEO
Mailing Address - State:IN
Mailing Address - Zip Code:46765
Mailing Address - Country:US
Mailing Address - Phone:260-627-2276
Mailing Address - Fax:
Practice Address - Street 1:14425 LEO RD
Practice Address - Street 2:
Practice Address - City:LEO
Practice Address - State:IN
Practice Address - Zip Code:46765
Practice Address - Country:US
Practice Address - Phone:260-627-2276
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-25
Last Update Date:2018-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08002843A111N00000X
IN81000150A171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty