Healthcare Provider Details

I. General information

NPI: 1922315134
Provider Name (Legal Business Name): NIKKI SCHWARTZ D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/09/2010
Last Update Date: 09/09/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

160 RIDGE RD #12
SANTA FE NM
87505-4583
US

IV. Provider business mailing address

160 RIDGE RD #12
SANTA FE NM
87505-4583
US

V. Phone/Fax

Practice location:
  • Phone: 505-982-2171
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number1017
License Number StateNM
# 2
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number15750
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number003839
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: