Provider Demographics
NPI:1306930656
Name:SNYDER, JULI ANNETT (DC)
Entity type:Individual
Prefix:
First Name:JULI
Middle Name:ANNETT
Last Name:SNYDER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:73-1292 ILAU ST
Mailing Address - Street 2:
Mailing Address - City:KAILUA KONA
Mailing Address - State:HI
Mailing Address - Zip Code:96740-9335
Mailing Address - Country:US
Mailing Address - Phone:408-605-2305
Mailing Address - Fax:408-271-2827
Practice Address - Street 1:100 OCONNOR DR
Practice Address - Street 2:#25
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95128-1638
Practice Address - Country:US
Practice Address - Phone:408-271-2800
Practice Address - Fax:408-271-2827
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2017-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC018202111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAGL485AOtherMEDICARE PTAN
CAGL485AOtherMEDICARE PTAN
CADC0182020Medicare ID - Type Unspecified