Provider Demographics
NPI:1518987635
Name:SNYDER, RICHARD D (DC)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:D
Last Name:SNYDER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:71 MCADENVILLE RD
Mailing Address - Street 2:
Mailing Address - City:BELMONT
Mailing Address - State:NC
Mailing Address - Zip Code:28012-2434
Mailing Address - Country:US
Mailing Address - Phone:704-461-8727
Mailing Address - Fax:704-461-8729
Practice Address - Street 1:71 MCADENVILLE RD
Practice Address - Street 2:
Practice Address - City:BELMONT
Practice Address - State:NC
Practice Address - Zip Code:28012-2434
Practice Address - Country:US
Practice Address - Phone:704-461-8727
Practice Address - Fax:704-461-8729
Is Sole Proprietor?:No
Enumeration Date:2006-07-20
Last Update Date:2011-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2001111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC0824TOtherNCBCBS
NC890824TMedicaid
NC890824TMedicaid
NCU43049Medicare UPIN