Provider Demographics
NPI:1376890418
Name:SNITZ PEDIATRICS
Entity Type:Organization
Organization Name:SNITZ PEDIATRICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ARNOLD
Authorized Official - Middle Name:
Authorized Official - Last Name:SNITZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:704-332-7141
Mailing Address - Street 1:2620 E 7TH ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28204-4381
Mailing Address - Country:US
Mailing Address - Phone:704-332-7141
Mailing Address - Fax:704-342-3324
Practice Address - Street 1:2620 E 7TH ST
Practice Address - Street 2:SUITE 100
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28204-4381
Practice Address - Country:US
Practice Address - Phone:704-332-7141
Practice Address - Fax:704-342-3324
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-08
Last Update Date:2012-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC22278261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8978356Medicaid