Healthcare Provider Details

I. General information

NPI: 1073524286
Provider Name (Legal Business Name): BETH FRANCES SNYDER D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/11/2006
Last Update Date: 11/15/2023
Certification Date: 11/15/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

255 S 17TH ST STE 1501
PHILADELPHIA PA
19103-6231
US

IV. Provider business mailing address

255 S 17TH ST STE 1501
PHILADELPHIA PA
19103-6231
US

V. Phone/Fax

Practice location:
  • Phone: 215-564-6683
  • Fax:
Mailing address:
  • Phone: 215-564-6683
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC007643L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: