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NPI Code Detail

MEDICARE: SNOKE FAMILY PRACTICE INC.

MEDICARE: SNOKE FAMILY PRACTICE INC.
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
1207QA0505XAdult Medicine PhysicianOS006241LPA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2CF3288OTHERPARAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1962560227
Entity Type Code : Organization
Provider Name (Legal Business Name) : SNOKE FAMILY PRACTICE INC.
Provider Business Mailing Address
First Line : 1800 CARLISLE RD
Second Line :
City : CAMP HILL
State : PA
Zip : 17011-5909
Country : US
Telephone Number : 717-737-3465
Fax Number : 717-737-8561
Provider Business Practice Location Address
First Line : 1800 CARLISLE RD
Second Line :
City : CAMP HILL
State : PA
Zip : 17011-5909
Country : US
Telephone Number : 717-737-3465
Fax Number : 717-737-8561
Authorized Official
Title or Position : PRESIDENT
Name : DR. JOHN STEPHEN SNOKE
Credential : DO, MBA
Telephone Number : 717-737-3465
Provider Enumeration Date : 12/05/2006
Last Update Date : 11/27/2007

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Directions to “SNOKE FAMILY PRACTICE INC. ” Practice Location

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