MEDICARE: DAVID P. SNIEZEK, DC, PLLC

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

General Provider Information

NPI Number	:	1972392223
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DAVID P. SNIEZEK, DC, PLLC

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	:	703-506-8471
Fax Number	:	202-403-0578

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	:	703-506-8471
Fax Number	:	202-403-0578

Authorized Official
Title or Position	:	OWNER
Name	:	DR. DAVID PAUL SNIEZEK
Credential	:	DC, MD
Telephone Number	:	703-506-8471

Provider Enumeration Date	:	05/03/2025
Last Update Date	:	05/03/2025

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