MEDICARE: DR. RICHARD A SCHWARTZ DC

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	DC007955L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0878821000	OTHER	PA	KHPE HMO INDIVIDUAL
2	000927914	OTHER	PA	HIGHMARK INDVIDUAL ID

General Provider Information

NPI Number	:	1356321889
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RICHARD A SCHWARTZ DC

Provider Business Mailing Address
First Line	:	701 LIMEKILN PIKE
Second Line	:	SUITE 1
City	:	MAPLE GLEN
State	:	PA
Zip	:	19002-2807
Country	:	US
Telephone Number	:	215-283-2844
Fax Number	:	215-283-3134

Provider Business Practice Location Address
First Line	:	701 LIMEKILN PIKE
Second Line	:	SUITE 1
City	:	MAPLE GLEN
State	:	PA
Zip	:	19002-2807
Country	:	US
Telephone Number	:	215-283-2844
Fax Number	:	215-283-3134

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

Provider Enumeration Date	:	01/19/2006
Last Update Date	:	05/10/2013

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Directions to “ DR. RICHARD A SCHWARTZ DC” Practice Location

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