Healthcare Provider Details

I. General information

NPI: 1427454305
Provider Name (Legal Business Name): MR. RONALD L SNYDER
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/05/2014
Last Update Date: 11/05/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2801 JOHN HAWKINS PARKWAY SUITE 125G
HOOVER AL
35244
US

IV. Provider business mailing address

PO BOX 381
SHANNON AL
35142-0381
US

V. Phone/Fax

Practice location:
  • Phone: 205-383-4949
  • Fax:
Mailing address:
  • Phone: 205-383-4949
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number4158
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: