MEDICARE: DR. CHARLES THOMAS SWICK 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	X007504	NY

General Provider Information

NPI Number	:	1639259211
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHARLES THOMAS SWICK DC

Provider Business Mailing Address
First Line	:	132 ALBANY ST
Second Line	:	ATWELL MILL
City	:	CAZENOVIA
State	:	NY
Zip	:	13035-1231
Country	:	US
Telephone Number	:	315-655-8008
Fax Number	:	315-655-1070

Provider Business Practice Location Address
First Line	:	132 ALBANY ST
Second Line	:	ATWELL MILL
City	:	CAZENOVIA
State	:	NY
Zip	:	13035-1231
Country	:	US
Telephone Number	:	315-655-8008
Fax Number	:	315-655-1070

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

Provider Enumeration Date	:	10/17/2006
Last Update Date	:	04/29/2014

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Directions to “ DR. CHARLES THOMAS SWICK DC” Practice Location

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