Provider Demographics
NPI:1255828943
Name:SCHWARZ, WALTER CARL
Entity Type:Individual
Prefix:
First Name:WALTER
Middle Name:CARL
Last Name:SCHWARZ
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 GIBRALTER WAY
Mailing Address - Street 2:
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-5613
Mailing Address - Country:US
Mailing Address - Phone:724-836-6656
Mailing Address - Fax:724-836-8810
Practice Address - Street 1:3 GIBRALTER WAY
Practice Address - Street 2:
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-5613
Practice Address - Country:US
Practice Address - Phone:724-836-6656
Practice Address - Fax:724-836-8810
Is Sole Proprietor?:No
Enumeration Date:2018-04-18
Last Update Date:2018-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOH000022222Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotist