Provider Demographics
NPI:1366883589
Name:SNYDER, DANIELLE NICOLE (DC)
Entity type:Individual
Prefix:
First Name:DANIELLE
Middle Name:NICOLE
Last Name:SNYDER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:DANIELLE
Other - Middle Name:NICOLE
Other - Last Name:MATSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:PO BOX 6
Mailing Address - Street 2:411 HAKES STREET
Mailing Address - City:OAKWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:45873-0006
Mailing Address - Country:US
Mailing Address - Phone:419-594-3378
Mailing Address - Fax:419-594-3379
Practice Address - Street 1:411 HAKES STREET
Practice Address - Street 2:
Practice Address - City:OAKWOOD
Practice Address - State:OH
Practice Address - Zip Code:45873-0006
Practice Address - Country:US
Practice Address - Phone:419-594-3378
Practice Address - Fax:519-594-3379
Is Sole Proprietor?:No
Enumeration Date:2013-07-16
Last Update Date:2023-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4391111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor