Provider Demographics
NPI:1861470072
Name:SNYDER, RYAN D (DC)
Entity Type:Individual
Prefix:DR
First Name:RYAN
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 1:5 CALLAHAN RD
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:16125-9757
Mailing Address - Country:US
Mailing Address - Phone:724-588-1044
Mailing Address - Fax:724-588-1048
Practice Address - Street 1:5 CALLAHAN RD
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:PA
Practice Address - Zip Code:16125-9757
Practice Address - Country:US
Practice Address - Phone:724-588-1044
Practice Address - Fax:724-588-1048
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-06
Last Update Date:2013-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC007459L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0076051550002Medicaid
U73550Medicare UPIN
023133Medicare ID - Type Unspecified