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NPI Code Detail

MEDICARE: DR. DREW WILLIAM SCHWARTZ D.C.

MEDICARE: DR. DREW WILLIAM SCHWARTZ D.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor4263OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
14263OTHEROHOHIO STATE LICENSE

General Provider Information

NPI Number : 1215294194
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DREW WILLIAM SCHWARTZ D.C.
Provider Business Mailing Address
First Line : 6508 DETROIT AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44102-3014
Country : US
Telephone Number : 216-334-1401
Fax Number : 216-334-1409
Provider Business Practice Location Address
First Line : 6508 DETROIT AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44102-3014
Country : US
Telephone Number : 216-334-1401
Fax Number : 216-334-1409
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/18/2012
Last Update Date : 04/18/2012

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