Provider Demographics
NPI:1639359953
Name:SCHWEIGHART WELLNESS LLC
Entity Type:Organization
Organization Name:SCHWEIGHART WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:J
Authorized Official - Last Name:SCHWEIGHART
Authorized Official - Suffix:II
Authorized Official - Credentials:CH
Authorized Official - Phone:419-435-0067
Mailing Address - Street 1:515 PLAZA DR
Mailing Address - Street 2:
Mailing Address - City:FOSTORIA
Mailing Address - State:OH
Mailing Address - Zip Code:44830-1353
Mailing Address - Country:US
Mailing Address - Phone:419-435-0067
Mailing Address - Fax:419-435-6684
Practice Address - Street 1:515 PLAZA DR
Practice Address - Street 2:
Practice Address - City:FOSTORIA
Practice Address - State:OH
Practice Address - Zip Code:44830-1353
Practice Address - Country:US
Practice Address - Phone:419-435-0067
Practice Address - Fax:419-435-6684
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-05
Last Update Date:2007-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2563111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH9339551Medicare PIN