Healthcare Provider Details

I. General information

NPI: 1346444007
Provider Name (Legal Business Name): HEMISPHERE HEALTH PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/14/2007
Last Update Date: 04/17/2025
Certification Date: 04/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

909 W CANFIELD AVE
COEUR D ALENE ID
83815-9764
US

IV. Provider business mailing address

909 W CANFIELD AVE
COEUR D ALENE ID
83815-9764
US

V. Phone/Fax

Practice location:
  • Phone: 208-292-4006
  • Fax: 866-229-7081
Mailing address:
  • Phone: 208-292-4006
  • Fax: 866-229-7081

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code2081P0004X
TaxonomySpinal Cord Injury Medicine Physician
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code2081P0301X
TaxonomyBrain Injury Medicine (Physical Medicine & Rehabilitation) Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: BRIAN DONALD SNYDERS
Title or Position: PHYSICIAN OWNER
Credential: DO
Phone: 208-292-4006