Provider Demographics
NPI:1407800204
Name:RICHARD A. SCHWARTZ LLC
Entity Type:Organization
Organization Name:RICHARD A. SCHWARTZ LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:A
Authorized Official - Last Name:SCHWARTZ
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:610-825-2006
Mailing Address - Street 1:701 LIMEKILN PIKE
Mailing Address - Street 2:
Mailing Address - City:MAPLE GLEN
Mailing Address - State:PA
Mailing Address - Zip Code:19002-2823
Mailing Address - Country:US
Mailing Address - Phone:215-283-2844
Mailing Address - Fax:610-825-2023
Practice Address - Street 1:701 LIMEKILN PIKE
Practice Address - Street 2:
Practice Address - City:MAPLE GLEN
Practice Address - State:PA
Practice Address - Zip Code:19002-2823
Practice Address - Country:US
Practice Address - Phone:215-283-2844
Practice Address - Fax:610-825-2023
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-19
Last Update Date:2019-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC007955L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001466857OtherHIGHMARK BS ID
PA2168002000OtherKHPE NUMBER
PA001466857OtherHIGHMARK BS ID