Provider Demographics
NPI:1619270949
Name:SWARTZ, CATHY J
Entity Type:Individual
Prefix:
First Name:CATHY
Middle Name:J
Last Name:SWARTZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8712 DALZELL RD
Mailing Address - Street 2:
Mailing Address - City:LOWER SALEM
Mailing Address - State:OH
Mailing Address - Zip Code:45745-8880
Mailing Address - Country:US
Mailing Address - Phone:740-336-0362
Mailing Address - Fax:740-373-3671
Practice Address - Street 1:8712 DALZELL RD
Practice Address - Street 2:
Practice Address - City:LOWER SALEM
Practice Address - State:OH
Practice Address - Zip Code:45745-8880
Practice Address - Country:US
Practice Address - Phone:740-336-0362
Practice Address - Fax:740-373-3671
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-08
Last Update Date:2010-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH3086182Medicaid