1568692861 NPI number — H.L. SNYDER, D.P.M.

Table of content: (NPI 1568692861)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1568692861 NPI number — H.L. SNYDER, D.P.M.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
H.L. SNYDER, D.P.M.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1568692861
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/21/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2211 HWY. 105 SOUTH
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BOONE
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
28607
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
828-262-1808
Provider Business Mailing Address Fax Number:
828-262-0204

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2211 HWY. 105 SOUTH
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BOONE
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28607
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
828-262-1808
Provider Business Practice Location Address Fax Number:
828-262-0204
Provider Enumeration Date:
07/21/2009

Additional Information

Authorized Official

Authorized Official Last Name:
SNYDER
Authorized Official First Name:
HERMAN
Authorized Official Middle Name:
LISLE
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
828-262-1808

Provider Taxonomy Codes

  • Taxonomy code: 213E00000X , with the licence number:  89 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 08169 . This is a "BCBS" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".
  • Identifier: 8908169 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2025 www.npivalidator.com