MEDICARE: MICHAEL FRANCIS SCHWAIGER LISW

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	1041C0700X	Clinical Social Worker	I.0002982	OH

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	SW19722	OTHER	OH	MEDICARE

General Provider Information

NPI Number	:	1336209584
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL FRANCIS SCHWAIGER LISW

Provider Business Mailing Address
First Line	:	3150 EL CAMINO DR
Second Line	:
City	:	SPRINGFIELD
State	:	OH
Zip	:	45503-1318
Country	:	US
Telephone Number	:	937-342-9030
Fax Number	:	937-342-9039

Provider Business Practice Location Address
First Line	:	3150 EL CAMINO DR
Second Line	:
City	:	SPRINGFIELD
State	:	OH
Zip	:	45503-1318
Country	:	US
Telephone Number	:	937-342-9030
Fax Number	:	937-342-9039

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

Provider Enumeration Date	:	12/11/2006
Last Update Date	:	02/22/2008

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