Provider Demographics
NPI:1881737237
Name:SNYDER CHIROPRACTIC CENTER, PSC
Entity type:Organization
Organization Name:SNYDER CHIROPRACTIC CENTER, PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:HOWARD
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:SNYDER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:270-338-3636
Mailing Address - Street 1:PO BOX 317
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:42345-0317
Mailing Address - Country:US
Mailing Address - Phone:270-338-6264
Mailing Address - Fax:
Practice Address - Street 1:140 S BOGGESS AVE
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:KY
Practice Address - Zip Code:42345-1123
Practice Address - Country:US
Practice Address - Phone:270-338-3636
Practice Address - Fax:270-338-3638
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3463-R111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY85003234Medicaid
KYT399Medicare UPIN
KY85003234Medicaid