Provider Demographics
NPI:1578717963
Name:MATHEW A. SNIDER, D.C., A CHIROPRACTIC CORPORATION
Entity Type:Organization
Organization Name:MATHEW A. SNIDER, D.C., A CHIROPRACTIC CORPORATION
Other - Org Name:SUNNYVALE CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MATHEW
Authorized Official - Middle Name:ALEXANDER
Authorized Official - Last Name:SNIDER
Authorized Official - Suffix:JR
Authorized Official - Credentials:DC
Authorized Official - Phone:408-736-7777
Mailing Address - Street 1:481 S MURPHY AVE
Mailing Address - Street 2:
Mailing Address - City:SUNNYVALE
Mailing Address - State:CA
Mailing Address - Zip Code:94086-6115
Mailing Address - Country:US
Mailing Address - Phone:408-736-7777
Mailing Address - Fax:408-736-0700
Practice Address - Street 1:481 S MURPHY AVE
Practice Address - Street 2:
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94086-6115
Practice Address - Country:US
Practice Address - Phone:408-736-7777
Practice Address - Fax:408-736-0700
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-11
Last Update Date:2009-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA7831111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
T03388Medicare PIN