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NPI Code Detail

MEDICARE: STEPHEN SNYDER

MEDICARE:   STEPHEN  SNYDER
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
1237700000XHearing Instrument Specialist03615OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
103165OTHEROHHEARING AID SPECIALIST

General Provider Information

NPI Number : 1407361215
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHEN SNYDER
Provider Business Mailing Address
First Line : 13500 PEARL RD
Second Line : STE 139 #324
City : STRONGSVILLE
State : OH
Zip : 44136-3428
Country : US
Telephone Number : 440-384-7821
Fax Number :
Provider Business Practice Location Address
First Line : 8286 SOUTH AVE BLDG B
Second Line :
City : BOARDMAN
State : OH
Zip : 44512-6415
Country : US
Telephone Number : 440-384-7821
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/04/2017
Last Update Date : 03/03/2020

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