Basic Information
| Provider Information | |||||||||
| NPI: | 1669815502 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | JUNE | ||||||||
| FirstName: | RACHEL | ||||||||
| MiddleName: | SNYDER | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1 PRESTIGE PL STE 550 | ||||||||
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| City: | MIAMISBURG | ||||||||
| State: | OH | ||||||||
| PostalCode: | 453426115 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9377621310 | ||||||||
| FaxNumber: | 9375228068 | ||||||||
| Practice Location | |||||||||
| Address1: | 1745 E STROOP RD | ||||||||
| Address2: | |||||||||
| City: | KETTERING | ||||||||
| State: | OH | ||||||||
| PostalCode: | 454295039 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9372816340 | ||||||||
| FaxNumber: | 9372816342 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/10/2013 | ||||||||
| LastUpdateDate: | 06/15/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 06/15/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 35.131740 | OH | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.