Provider Demographics
NPI:1235751116
Name:SNYDER, STEVEN CHARLES
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:CHARLES
Last Name:SNYDER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 55
Mailing Address - Street 2:
Mailing Address - City:SPRING MILLS
Mailing Address - State:PA
Mailing Address - Zip Code:16875-0055
Mailing Address - Country:US
Mailing Address - Phone:814-422-8800
Mailing Address - Fax:
Practice Address - Street 1:119 BOYD HOLLOW LN
Practice Address - Street 2:
Practice Address - City:SPRING MILLS
Practice Address - State:PA
Practice Address - Zip Code:16875-7812
Practice Address - Country:US
Practice Address - Phone:814-422-8800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-13
Last Update Date:2020-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator
No174400000XOther Service ProvidersSpecialist