Provider Demographics
NPI:1003937848
Name:SCHWEGLER, GEORGE PAUL (DC)
Entity Type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:PAUL
Last Name:SCHWEGLER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 426
Mailing Address - Street 2:
Mailing Address - City:PITTSFORD
Mailing Address - State:NY
Mailing Address - Zip Code:14534-0426
Mailing Address - Country:US
Mailing Address - Phone:585-248-5900
Mailing Address - Fax:585-248-5900
Practice Address - Street 1:61 MONROE AVE
Practice Address - Street 2:SUITE C
Practice Address - City:PITTSFORD
Practice Address - State:NY
Practice Address - Zip Code:14534-1311
Practice Address - Country:US
Practice Address - Phone:585-248-5900
Practice Address - Fax:585-248-5900
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-02
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY008268111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY12255BMedicare PIN