Provider Demographics
NPI:1700043700
Name:SWARTZ, DONALD D (DC)
Entity Type:Individual
Prefix:DR
First Name:DONALD
Middle Name:D
Last Name:SWARTZ
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 1:29115 VALLEY CENTER RD STE L
Mailing Address - Street 2:
Mailing Address - City:VALLEY CENTER
Mailing Address - State:CA
Mailing Address - Zip Code:92082-6553
Mailing Address - Country:US
Mailing Address - Phone:760-749-7611
Mailing Address - Fax:
Practice Address - Street 1:29115 VALLEY CENTER RD STE L
Practice Address - Street 2:
Practice Address - City:VALLEY CENTER
Practice Address - State:CA
Practice Address - Zip Code:92082-6553
Practice Address - Country:US
Practice Address - Phone:760-749-7611
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-19
Last Update Date:2008-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA15047111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA15047Medicare UPIN