MEDICARE: MATTHEW SNIEZEK

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	0104558094	VA

General Provider Information

NPI Number	:	1801782321
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MATTHEW SNIEZEK

Provider Business Mailing Address
First Line	:	1749 OLD MEADOW RD STE 200
Second Line	:
City	:	MC LEAN
State	:	VA
Zip	:	22102-4310
Country	:	US
Telephone Number	:	703-506-8472
Fax Number	:

Provider Business Practice Location Address
First Line	:	1749 OLD MEADOW RD STE 200
Second Line	:
City	:	MC LEAN
State	:	VA
Zip	:	22102-4310
Country	:	US
Telephone Number	:	703-506-8472
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/13/2025
Last Update Date	:	06/13/2025

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