Individual
DR. JONATHAN A SNELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4131A OREGON PIKE, EPHRATA, PA 17522-9550
(717) 859-1123
(717) 859-2898
Mailing address
3421 CONCORD RD, YORK, PA 17402-9001
(717) 859-1123
(717) 859-2898
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS008630L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015335040006
—
PA
01
—
50051196
CAPITAL BLUE
PA
01
—
784458
HIGHMARK/FREEDOM BLUE
—
01
—
P002401
GATEWAY
PA
01
—
P00256445
RAILROAD MEDICARE
PA
Enumeration date
07/03/2006
Last updated
06/07/2021
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