Healthcare Provider Details

I. General information

NPI: 1518987635
Provider Name (Legal Business Name): RICHARD D SNYDER DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2006
Last Update Date: 08/08/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

71 MCADENVILLE RD
BELMONT NC
28012-2434
US

IV. Provider business mailing address

71 MCADENVILLE RD
BELMONT NC
28012-2434
US

V. Phone/Fax

Practice location:
  • Phone: 704-461-8727
  • Fax: 704-461-8729
Mailing address:
  • Phone: 704-461-8727
  • Fax: 704-461-8729

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2001
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: