Healthcare Provider Details

I. General information

NPI: 1649959750
Provider Name (Legal Business Name): SEAN MICHAEL SNEAD CPHT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/17/2023
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

503 CYNWOOD DR STE 1
EASTON MD
21601-3869
US

IV. Provider business mailing address

503 CYNWOOD DR STE 1
EASTON MD
21601-3869
US

V. Phone/Fax

Practice location:
  • Phone: 410-822-3700
  • Fax: 410-787-0033
Mailing address:
  • Phone: 410-822-3700
  • Fax: 410-787-0033

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183700000X
TaxonomyPharmacy Technician
License NumberT00408
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License NumberC37329
License Number StateMD
# 3
Primary TaxonomyN
Taxonomy Code247200000X
TaxonomyOther Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: