MEDICARE: DR. THOMAS C 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
1	111N00000X	Chiropractor	1963	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0823F	OTHER	NC	BCBS
2	YTM279406	OTHER	NC	ANTHEM BCBS
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1427015353
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. THOMAS C SCHWARTZ D.C.

Provider Business Mailing Address
First Line	:	303 PLAZA DR
Second Line	:
City	:	GREENVILLE
State	:	NC
Zip	:	27858-6716
Country	:	US
Telephone Number	:	252-756-6111
Fax Number	:	252-756-6904

Provider Business Practice Location Address
First Line	:	303 PLAZA DR
Second Line	:
City	:	GREENVILLE
State	:	NC
Zip	:	27858-6716
Country	:	US
Telephone Number	:	252-756-6111
Fax Number	:	252-756-6904

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

Provider Enumeration Date	:	04/26/2006
Last Update Date	:	07/08/2007

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