Healthcare Provider Details

I. General information

NPI: 1164537130
Provider Name (Legal Business Name): DAVID PAUL SNIEZEK DC, MD, FAAIM
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/20/2006
Last Update Date: 04/22/2025
Certification Date: 04/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

908 NEW HAMPSHIRE AVE NW #500
WASHINGTON DC
20037-2346
US

IV. Provider business mailing address

908 NEW HAMPSHIRE AVE NW STE 500
WASHINGTON DC
20037-2352
US

V. Phone/Fax

Practice location:
  • Phone: 202-296-3555
  • Fax: 202-296-0214
Mailing address:
  • Phone: 202-296-3555
  • Fax: 202-296-0214

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number0104000271
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH30035
License Number StateDC
# 3
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number StateDC
# 4
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number StateVA
# 5
Primary TaxonomyN
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number17362
License Number StateDC
# 6
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number44421
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: