Individual
DR. JENNIFER BRAE SNAVELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
313 LOGAN AVE, STATE COLLEGE, PA 16801-4623
(814) 206-9944
(224) 235-4652
Mailing address
PO BOX 791, NORTHBROOK, IL 60065-0791
(847) 593-8460
(224) 235-4652
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0S014357
PA
207Q00000X
Family Medicine Physician
OT011584
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102398784-0001
—
PA
01
—
130267
GEISSINGER
PA
01
—
413602
UPMC
PA
01
—
SN2128627
HIGHMARK
PA
Enumeration date
06/22/2007
Last updated
11/12/2018
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