Provider Demographics
NPI:1497144315
Name:SNELL, JAMES RAY (DC)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:RAY
Last Name:SNELL
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2127 COVINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18017-5029
Mailing Address - Country:US
Mailing Address - Phone:610-504-8369
Mailing Address - Fax:
Practice Address - Street 1:2000 EBERHART RD
Practice Address - Street 2:
Practice Address - City:WHITEHALL
Practice Address - State:PA
Practice Address - Zip Code:18052-3645
Practice Address - Country:US
Practice Address - Phone:610-904-8100
Practice Address - Fax:610-638-0753
Is Sole Proprietor?:No
Enumeration Date:2015-01-15
Last Update Date:2022-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC011063111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor