Provider Demographics
NPI:1538354865
Name:JANET K. SNYDER
Entity type:Organization
Organization Name:JANET K. SNYDER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUDIOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:JANET
Authorized Official - Middle Name:K
Authorized Official - Last Name:SNYDER
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:707-938-3610
Mailing Address - Street 1:511 3RD ST W
Mailing Address - Street 2:
Mailing Address - City:SONOMA
Mailing Address - State:CA
Mailing Address - Zip Code:95476-6501
Mailing Address - Country:US
Mailing Address - Phone:707-938-3610
Mailing Address - Fax:
Practice Address - Street 1:511 3RD ST W
Practice Address - Street 2:
Practice Address - City:SONOMA
Practice Address - State:CA
Practice Address - Zip Code:95476-6501
Practice Address - Country:US
Practice Address - Phone:707-938-3610
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-10
Last Update Date:2008-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAU883332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
S20900Medicare UPIN