Provider Demographics
NPI:1285627554
Name:SNAIR, PATRICIA LYNN (DC)
Entity Type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:LYNN
Last Name:SNAIR
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1059 BROADWAY STE C
Mailing Address - Street 2:
Mailing Address - City:DUNEDIN
Mailing Address - State:FL
Mailing Address - Zip Code:34698-5756
Mailing Address - Country:US
Mailing Address - Phone:727-733-6501
Mailing Address - Fax:727-733-6701
Practice Address - Street 1:1059 BROADWAY STE C
Practice Address - Street 2:
Practice Address - City:DUNEDIN
Practice Address - State:FL
Practice Address - Zip Code:34698-5756
Practice Address - Country:US
Practice Address - Phone:727-733-6501
Practice Address - Fax:727-733-6701
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-23
Last Update Date:2012-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH0003788111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL381103400Medicaid
886752Medicare ID - Type Unspecified
FL381103400Medicaid