Provider Demographics
NPI:1932243144
Name:SNYDER, COREE JO (DC)
Entity Type:Individual
Prefix:DR
First Name:COREE
Middle Name:JO
Last Name:SNYDER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:COREE
Other - Middle Name:JO
Other - Last Name:KAMMERZELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5935 S ZANG ST
Mailing Address - Street 2:STE. 275
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80127-4647
Mailing Address - Country:US
Mailing Address - Phone:303-933-9149
Mailing Address - Fax:303-933-9110
Practice Address - Street 1:5935 S ZANG ST
Practice Address - Street 2:STE. 275
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80127-4647
Practice Address - Country:US
Practice Address - Phone:303-933-9149
Practice Address - Fax:303-933-9110
Is Sole Proprietor?:No
Enumeration Date:2007-02-19
Last Update Date:2007-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO5996111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
809141Medicare UPIN