Provider Demographics
NPI:1326131012
Name:SCHWARTZ HARVEST CHIRO CLC
Entity Type:Organization
Organization Name:SCHWARTZ HARVEST CHIRO CLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EMPLOYEE
Authorized Official - Prefix:DR
Authorized Official - First Name:COURTNEY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:CARMICHAEL SCHWARTZ
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:712-264-8829
Mailing Address - Street 1:PO BOX 1334
Mailing Address - Street 2:
Mailing Address - City:SPENCER
Mailing Address - State:IA
Mailing Address - Zip Code:51301-1334
Mailing Address - Country:US
Mailing Address - Phone:712-264-8829
Mailing Address - Fax:712-264-8849
Practice Address - Street 1:1204 WEST 18TH ST
Practice Address - Street 2:
Practice Address - City:SPENCER
Practice Address - State:IA
Practice Address - Zip Code:51301
Practice Address - Country:US
Practice Address - Phone:712-264-8829
Practice Address - Fax:712-264-8849
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-02
Last Update Date:2021-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA06398111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0276337Medicaid
IA0276337Medicaid
IAU83697Medicare UPIN