Provider Demographics
NPI:1609941673
Name:SNYDER, BRYANT D (DC)
Entity Type:Individual
Prefix:DR
First Name:BRYANT
Middle Name:D
Last Name:SNYDER
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 1:8639 MAYLAND DR STE 105
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23294-4752
Mailing Address - Country:US
Mailing Address - Phone:804-740-7105
Mailing Address - Fax:804-754-0309
Practice Address - Street 1:8639 MAYLAND DR STE 105
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23294-4752
Practice Address - Country:US
Practice Address - Phone:804-740-7105
Practice Address - Fax:804-754-0309
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-22
Last Update Date:2023-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104556041111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA00W486W87Medicare PIN