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NPI Code Detail

MEDICARE: DR. HEATHER S SNYDER D.P.M.

MEDICARE:  DR. HEATHER S SNYDER  D.P.M.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1213EP1101XPrimary Podiatric Medicine Podiatrist0103001052VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1291476OTHERVAMAMSI
2541937173OTHERVASOUTHERN HEALTH/ TRICARE
3283946OTHERVAANTHEM BCBS
41895709OTHERVAFIRST HEALTH
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6700026073OTHERVACIGNA

General Provider Information

NPI Number : 1033112172
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HEATHER S SNYDER D.P.M.
Provider Business Mailing Address
First Line : 1410 INCARNATION DR
Second Line : STE 202
City : CHARLOTTESVILLE
State : VA
Zip : 22901-5708
Country : US
Telephone Number : 434-979-0728
Fax Number : 434-979-0730
Provider Business Practice Location Address
First Line : 1410 INCARNATION DR
Second Line : STE 202
City : CHARLOTTESVILLE
State : VA
Zip : 22901-5708
Country : US
Telephone Number : 434-979-0728
Fax Number : 434-979-0730
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2005
Last Update Date : 05/01/2013

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