Healthcare Provider Details

I. General information

NPI: 1184381584
Provider Name (Legal Business Name): FAITH ELISABETH SWARTZENDRUBER DC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/19/2021
Last Update Date: 02/24/2022
Certification Date: 02/24/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5721 DRAGON WAY
CINCINNATI OH
45227-4518
US

IV. Provider business mailing address

415 W MAIN ST
MILROY IN
46156-9747
US

V. Phone/Fax

Practice location:
  • Phone: 513-271-1233
  • Fax:
Mailing address:
  • Phone: 217-377-1624
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number08003271A
License Number StateIN
# 2
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC-05144
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: