Healthcare Provider Details

I. General information

NPI: 1023092210
Provider Name (Legal Business Name): SCHWARTZ MEDICAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/01/2005
Last Update Date: 04/01/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7550 HOHMAN AVE
MUNSTER IN
46321-1060
US

IV. Provider business mailing address

7550 HOHMAN AVE
MUNSTER IN
46321-1060
US

V. Phone/Fax

Practice location:
  • Phone: 219-836-6200
  • Fax: 219-836-6207
Mailing address:
  • Phone: 219-836-6200
  • Fax: 219-836-6207

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number01018709
License Number StateIN
# 2
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number01037899
License Number StateIN
# 3
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number01018633
License Number StateIN

VIII. Authorized Official

Name: DR. JACK SCHWARTZ
Title or Position: PRESIDENT
Credential: MD
Phone: 219-836-6200