Provider Demographics
NPI:1427015353
Name:SCHWARTZ, THOMAS C (DC)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:C
Last Name:SCHWARTZ
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:303 PLAZA DR
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27858-6716
Mailing Address - Country:US
Mailing Address - Phone:252-756-6111
Mailing Address - Fax:252-756-6904
Practice Address - Street 1:303 PLAZA DR
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27858-6716
Practice Address - Country:US
Practice Address - Phone:252-756-6111
Practice Address - Fax:252-756-6904
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1963111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC0823FOtherBCBS
NCYTM279406OtherANTHEM BCBS
NC890823FMedicaid
NC2448527AMedicare ID - Type Unspecified
NC0823FOtherBCBS