Healthcare Provider Details

I. General information

NPI: 1669562732
Provider Name (Legal Business Name): DAVID ALLEN SCHWENK PA-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/12/2006
Last Update Date: 02/13/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2850 TATE BLVD SE
HICKORY NC
28602-1450
US

IV. Provider business mailing address

1294 OLD US 221 S
MARION NC
28752-8747
US

V. Phone/Fax

Practice location:
  • Phone: 828-326-7000
  • Fax: 828-328-4448
Mailing address:
  • Phone: 828-659-2900
  • Fax: 828-652-5092

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number102785
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: