Healthcare Provider Details

I. General information

NPI: 1639113913
Provider Name (Legal Business Name): SNOOK CHIROPRACTIC AND NUTRITION CENTER, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/16/2006
Last Update Date: 07/16/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23 LANCASTER AVE
CHRISTIANA PA
17509-9504
US

IV. Provider business mailing address

PO BOX 145
BART PA
17503-0145
US

V. Phone/Fax

Practice location:
  • Phone: 717-786-1777
  • Fax: 717-786-5193
Mailing address:
  • Phone: 717-786-1777
  • Fax: 717-786-5193

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License NumberDC002334L
License Number StatePA

VIII. Authorized Official

Name: DR. RICKEY L SNOOK
Title or Position: CHIROPRACTOR
Credential: D.C.
Phone: 717-786-1777