Provider Demographics
NPI:1326498932
Name:SNYDER, EDWARD J JR (HID)
Entity Type:Individual
Prefix:MR
First Name:EDWARD
Middle Name:J
Last Name:SNYDER
Suffix:JR
Gender:M
Credentials:HID
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:927 RIDERS CLUB RD
Mailing Address - Street 2:
Mailing Address - City:ONALASKA
Mailing Address - State:WI
Mailing Address - Zip Code:54650-2041
Mailing Address - Country:US
Mailing Address - Phone:608-783-7399
Mailing Address - Fax:608-783-7398
Practice Address - Street 1:1700 HIGHWAY 36 W
Practice Address - Street 2:SUITE 125
Practice Address - City:ROSEVILLE
Practice Address - State:MN
Practice Address - Zip Code:55113-4034
Practice Address - Country:US
Practice Address - Phone:651-746-0400
Practice Address - Fax:651-633-6562
Is Sole Proprietor?:No
Enumeration Date:2016-06-14
Last Update Date:2016-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN2788237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist