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NPI Code Detail

MEDICARE: DR. DUANE SNIDER D.C. MSN FNP-C

MEDICARE: DR. DUANE SNIDER D.C. MSN FNP-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
1163W00000XRegistered Nurse28270166CIN
2111N00000XChiropractor08001674AIN
3363LF0000XFamily Nurse Practitioner71015126AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000000174402OTHERINBLUE CROSS BLUE SHIELD #
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1356320113
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DUANE SNIDER D.C. MSN FNP-C
Provider Business Mailing Address
First Line : PO BOX 637764
Second Line :
City : CINCINNATI
State : OH
Zip : 45263-7764
Country : US
Telephone Number : 317-880-3939
Fax Number :
Provider Business Practice Location Address
First Line : 5515 W 38TH ST
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46254-2995
Country : US
Telephone Number : 317-880-3838
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/11/2006
Last Update Date : 09/30/2025

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