Provider Demographics
NPI:1265220263
Name:DAVID P. SNIEZEK, DC, MD, MBA, PLLC
Entity type:Organization
Organization Name:DAVID P. SNIEZEK, DC, MD, MBA, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:SNIEZEK
Authorized Official - Suffix:
Authorized Official - Credentials:DC, MD, MBA
Authorized Official - Phone:703-409-4649
Mailing Address - Street 1:1749 OLD MEADOW RD STE 200
Mailing Address - Street 2:
Mailing Address - City:MC LEAN
Mailing Address - State:VA
Mailing Address - Zip Code:22102-4310
Mailing Address - Country:US
Mailing Address - Phone:703-506-8471
Mailing Address - Fax:202-403-0578
Practice Address - Street 1:1749 OLD MEADOW RD STE 200
Practice Address - Street 2:
Practice Address - City:MC LEAN
Practice Address - State:VA
Practice Address - Zip Code:22102-4310
Practice Address - Country:US
Practice Address - Phone:703-506-8471
Practice Address - Fax:202-403-0578
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-29
Last Update Date:2025-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty