James P Snyder, DC

Individual provider Active NPI Chiropractor · Tonganoxie, KS

NPI 1811908601 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1811908601
Entity type
Individual (NPI type 1)
Primary specialty
Chiropractor 111N00000X
License
01-03313 (KS)
Practice address
307 Ridge St Ste 104
Tonganoxie, KS 66086-9310
Phone
(913) 845-9000
Fax
(913) 845-9000
NPI assigned
Aug 10, 2006
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
01-03313KSMDChiropractor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 01-03313 KS Yes

Addresses

Primary practice location

307 Ridge St Ste 104
Tonganoxie, KS 66086-9310

Mailing address

307 Ridge St Ste 104
Tonganoxie, KS 66086-9310
Phone (913) 845-9000

Other identifiers

IdentifierTypeStateIssuer
007224OtherKSBCBS OF KANSAS
04073018OtherKSBCBS OF KANSAS CITY

Other providers in Tonganoxie, KS

All providers in Tonganoxie, KS · Chiropractor in Kansas

Sources for this page

Verify at the official NPI Registry.