Provider Demographics
NPI:1659352391
Name:CARMICHAEL SCHWARTZ, COURTNEY ANN (DC)
Entity Type:Individual
Prefix:DR
First Name:COURTNEY
Middle Name:ANN
Last Name:CARMICHAEL SCHWARTZ
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:COURTNEY
Other - Middle Name:ANN
Other - Last Name:CARMICHAEL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DC
Mailing Address - Street 1:PO BOX 1334
Mailing Address - Street 2:1204 W 18TH ST
Mailing Address - City:SPENCER
Mailing Address - State:IA
Mailing Address - Zip Code:51301-2817
Mailing Address - Country:US
Mailing Address - Phone:712-264-8829
Mailing Address - Fax:712-264-8849
Practice Address - Street 1:1204 W 18TH ST
Practice Address - Street 2:
Practice Address - City:SPENCER
Practice Address - State:IA
Practice Address - Zip Code:51301-2817
Practice Address - Country:US
Practice Address - Phone:712-264-8829
Practice Address - Fax:712-264-8849
Is Sole Proprietor?:No
Enumeration Date:2005-11-09
Last Update Date:2021-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA06398111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0272782Medicaid
IA30491OtherBLUE CROSS BLUE SHIELD
IAU83697Medicare UPIN
IAI8174Medicare ID - Type Unspecified