Healthcare Provider Details

I. General information

NPI: 1841058971
Provider Name (Legal Business Name): SNYDER HEARING CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/12/2024
Last Update Date: 03/12/2024
Certification Date: 03/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1697 OLD HIGHWAY 135 NE
CORYDON IN
47112-2010
US

IV. Provider business mailing address

12634 OPTICAL RD
ENGLISH IN
47118-7519
US

V. Phone/Fax

Practice location:
  • Phone: 812-596-4543
  • Fax:
Mailing address:
  • Phone: 812-596-4543
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0700X
TaxonomyHearing and Speech Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DYLAN SNYDER
Title or Position: OWNER
Credential:
Phone: 812-596-4543