Provider Demographics
NPI:1831152339
Name:SNYDER, HARRY C (DPM)
Entity type:Individual
Prefix:
First Name:HARRY
Middle Name:C
Last Name:SNYDER
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4064 WM PENN HWY
Mailing Address - Street 2:
Mailing Address - City:MURRYSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15668-1869
Mailing Address - Country:US
Mailing Address - Phone:724-733-4999
Mailing Address - Fax:724-463-8545
Practice Address - Street 1:4064 WM PENN HWY
Practice Address - Street 2:
Practice Address - City:MURRYSVILLE
Practice Address - State:PA
Practice Address - Zip Code:15668-1869
Practice Address - Country:US
Practice Address - Phone:724-733-4999
Practice Address - Fax:724-463-8545
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-07
Last Update Date:2007-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC0001789L213E00000X
PASC001789L213EP1101X, 213ER0200X, 213ES0000X, 213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
No213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric Medicine
No213ER0200XPodiatric Medicine & Surgery Service ProvidersPodiatristRadiology
No213ES0000XPodiatric Medicine & Surgery Service ProvidersPodiatristSports Medicine
No213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA103897Medicare PIN
PAT28639Medicare UPIN
PA4807900001Medicare NSC
PA4772680001Medicare NSC