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NPI Code Detail

MEDICARE: DR. MICHAEL JAMES SNYDER D.C.

MEDICARE: DR. MICHAEL JAMES SNYDER D.C.
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
1111N00000XChiropractorDC22930CA

General Provider Information

NPI Number : 1174615207
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL JAMES SNYDER D.C.
Provider Business Mailing Address
First Line : 1601 DOVE ST
Second Line : STE 170
City : NEWPORT BEACH
State : CA
Zip : 92660-1421
Country : US
Telephone Number : 949-229-5297
Fax Number : 815-425-4215
Provider Business Practice Location Address
First Line : 1601 DOVE ST
Second Line : STE 170
City : NEWPORT BEACH
State : CA
Zip : 92660-1421
Country : US
Telephone Number : 949-229-5297
Fax Number : 815-425-4215
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/28/2006
Last Update Date : 07/20/2016

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