Provider Demographics
NPI:1346555810
Name:SCHWEYEN CHIROPRACTIC, P.S.
Entity Type:Organization
Organization Name:SCHWEYEN CHIROPRACTIC, P.S.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:JODY
Authorized Official - Middle Name:A
Authorized Official - Last Name:SCHWEYEN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:360-457-6805
Mailing Address - Street 1:PO BOX 37
Mailing Address - Street 2:
Mailing Address - City:PORT ANGELES
Mailing Address - State:WA
Mailing Address - Zip Code:98362-0006
Mailing Address - Country:US
Mailing Address - Phone:360-457-6805
Mailing Address - Fax:
Practice Address - Street 1:719 S LAUREL ST
Practice Address - Street 2:
Practice Address - City:PORT ANGELES
Practice Address - State:WA
Practice Address - Zip Code:98362-6020
Practice Address - Country:US
Practice Address - Phone:360-457-6805
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-09
Last Update Date:2010-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH 00033798111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty