Healthcare Provider Details

I. General information

NPI: 1235392739
Provider Name (Legal Business Name): SNIDER FAMILY CHIROPRACTIC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/03/2008
Last Update Date: 11/14/2024
Certification Date: 11/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1805 E WABASH ST
FRANKFORT IN
46041-2750
US

IV. Provider business mailing address

1805 E WABASH ST
FRANKFORT IN
46041-2750
US

V. Phone/Fax

Practice location:
  • Phone: 765-659-1881
  • Fax:
Mailing address:
  • Phone: 765-659-1881
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. DUANE SNIDER
Title or Position: CHIROPRACTOR
Credential: DC
Phone: 765-659-1881