MEDICARE: DR. MARK GREG SCHWEITZER 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
1	111N00000X	Chiropractor	KY 4150	KY

General Provider Information

NPI Number	:	1295812279
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARK GREG SCHWEITZER D.C.

Provider Business Mailing Address
First Line	:	20 N GRAND AVE STE 12
Second Line	:
City	:	FORT THOMAS
State	:	KY
Zip	:	41075-1755
Country	:	US
Telephone Number	:	859-441-8800
Fax Number	:	859-441-8813

Provider Business Practice Location Address
First Line	:	20 N GRAND AVE STE 12
Second Line	:
City	:	FORT THOMAS
State	:	KY
Zip	:	41075-1755
Country	:	US
Telephone Number	:	859-441-8800
Fax Number	:	859-441-8813

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/01/2006
Last Update Date	:	01/15/2013

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