Provider Demographics
NPI:1306828165
Name:THOMAS C. SCHWARTZ, DC, PS, INC.
Entity Type:Organization
Organization Name:THOMAS C. SCHWARTZ, DC, PS, INC.
Other - Org Name:ALL STAR CHIROPRACTIC & MASSAGE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CLINIC DIRECTOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:CHARLES
Authorized Official - Last Name:SCHWARTZ
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:425-635-0544
Mailing Address - Street 1:9 LAKE BELLEVUE DR.
Mailing Address - Street 2:SUITE #113
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98005
Mailing Address - Country:US
Mailing Address - Phone:425-635-0544
Mailing Address - Fax:425-450-0365
Practice Address - Street 1:9 LAKE BELLEVUE DR.
Practice Address - Street 2:SUITE #113
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98005
Practice Address - Country:US
Practice Address - Phone:425-635-0544
Practice Address - Fax:425-450-0365
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-17
Last Update Date:2016-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00002034111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA607181900OtherOWCP
WA0125924OtherDEPT. LABOR & INDUSTRIES
WA0125924OtherDEPT. LABOR & INDUSTRIES