MEDICARE: RICHARD A. SCHWARTZ LLC

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	001466857	OTHER	PA	HIGHMARK BS ID
2	2168002000	OTHER	PA	KHPE NUMBER

General Provider Information

NPI Number	:	1407800204
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RICHARD A. SCHWARTZ LLC

Provider Business Mailing Address
First Line	:	701 LIMEKILN PIKE
Second Line	:
City	:	MAPLE GLEN
State	:	PA
Zip	:	19002-2823
Country	:	US
Telephone Number	:	215-283-2844
Fax Number	:	610-825-2023

Provider Business Practice Location Address
First Line	:	701 LIMEKILN PIKE
Second Line	:
City	:	MAPLE GLEN
State	:	PA
Zip	:	19002-2823
Country	:	US
Telephone Number	:	215-283-2844
Fax Number	:	610-825-2023

Authorized Official
Title or Position	:	OWNER
Name	:	DR. RICHARD A. SCHWARTZ
Credential	:	D.C.
Telephone Number	:	610-825-2006

Provider Enumeration Date	:	05/19/2006
Last Update Date	:	11/22/2019

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