Provider Demographics
NPI:1437267655
Name:SNYDER, CHRISTOPHER MYERS (DO)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:MYERS
Last Name:SNYDER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6872 COOLEY RD
Mailing Address - Street 2:
Mailing Address - City:OOLTEWAH
Mailing Address - State:TN
Mailing Address - Zip Code:37363-5740
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:645 PAUL HUFF PARKWAY NW
Practice Address - Street 2:SUITE 105
Practice Address - City:CLEVELAND
Practice Address - State:TN
Practice Address - Zip Code:37312
Practice Address - Country:US
Practice Address - Phone:423-790-7750
Practice Address - Fax:423-790-7659
Is Sole Proprietor?:No
Enumeration Date:2006-08-28
Last Update Date:2018-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY7540A207R00000X
PAOS004011L207R00000X
TN2407207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PASN114804OtherBLUE CROSS/BLUE SHIELD
WY20924Medicare ID - Type Unspecified
PASN114804OtherBLUE CROSS/BLUE SHIELD
E03985Medicare UPIN