Provider Demographics
NPI:1639230261
Name:SCHWEITZER, JON (DC)
Entity Type:Individual
Prefix:
First Name:JON
Middle Name:
Last Name:SCHWEITZER
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 1:8208 BEDFORD EULESS RD.
Mailing Address - Street 2:
Mailing Address - City:N. RICHLAND HILLS
Mailing Address - State:TX
Mailing Address - Zip Code:76180-7214
Mailing Address - Country:US
Mailing Address - Phone:817-498-7400
Mailing Address - Fax:817-503-9967
Practice Address - Street 1:8208 BEDFORD EULESS RD
Practice Address - Street 2:
Practice Address - City:NORTH RICHLAND HILLS
Practice Address - State:TX
Practice Address - Zip Code:76180-7214
Practice Address - Country:US
Practice Address - Phone:817-498-7400
Practice Address - Fax:817-503-9967
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-13
Last Update Date:2008-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6911111N00000X, 111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No111NR0400XChiropractic ProvidersChiropractorRehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0074JSOtherBCBS
TXU60731Medicare UPIN