Healthcare Provider Details

I. General information

NPI: 1528243912
Provider Name (Legal Business Name): IGOR N SCHWARTZMAN ND
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/03/2008
Last Update Date: 09/13/2024
Certification Date: 09/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

145 PINE HAVEN SHORES RD STE 1011
SHELBURNE VT
05482-7812
US

IV. Provider business mailing address

PO BOX 513
CHARLOTTE VT
05445-0513
US

V. Phone/Fax

Practice location:
  • Phone: 802-490-5009
  • Fax: 503-853-8615
Mailing address:
  • Phone: 802-490-5009
  • Fax: 503-853-8615

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number1588
License Number StateOR
# 2
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number099.0134123
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: