Provider Demographics
NPI:1265543102
Name:SNYDER-HUGHES, CHERYL (DC)
Entity type:Individual
Prefix:MRS
First Name:CHERYL
Middle Name:
Last Name:SNYDER-HUGHES
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 1:43050 FORD RD STE 140
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:MI
Mailing Address - Zip Code:48187-3374
Mailing Address - Country:US
Mailing Address - Phone:734-981-8210
Mailing Address - Fax:734-981-8212
Practice Address - Street 1:43050 FORD RD STE 140
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:MI
Practice Address - Zip Code:48187-3374
Practice Address - Country:US
Practice Address - Phone:734-981-8210
Practice Address - Fax:734-981-8212
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2017-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI1616242111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIOP58940OtherMEDICARE ID
MIOP58940OtherMEDICARE ID
MI3234756Medicare PIN