Provider Demographics
NPI:1366431553
Name:SNEERINGER, THOMAS DOMINIC (DO)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:DOMINIC
Last Name:SNEERINGER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:477 ROUTE 28
Mailing Address - Street 2:
Mailing Address - City:BROOKVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15825-7159
Mailing Address - Country:US
Mailing Address - Phone:814-849-3035
Mailing Address - Fax:814-849-4341
Practice Address - Street 1:477 ROUTE 28
Practice Address - Street 2:
Practice Address - City:BROOKVILLE
Practice Address - State:PA
Practice Address - Zip Code:15825-7159
Practice Address - Country:US
Practice Address - Phone:814-849-3035
Practice Address - Fax:814-849-4341
Is Sole Proprietor?:No
Enumeration Date:2005-10-19
Last Update Date:2013-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS-006320-E207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001049590006Medicaid
PA045375Medicare ID - Type Unspecified
PA001049590006Medicaid