Provider Demographics
NPI:1790960581
Name:SCHWANGER CHIROPRACTIC OFFICES, P.C.
Entity Type:Organization
Organization Name:SCHWANGER CHIROPRACTIC OFFICES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:LARRY
Authorized Official - Last Name:SCHWANGER
Authorized Official - Suffix:
Authorized Official - Credentials:D,C
Authorized Official - Phone:734-856-6411
Mailing Address - Street 1:6588 SECOR RD
Mailing Address - Street 2:
Mailing Address - City:LAMBERTVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:48144-9431
Mailing Address - Country:US
Mailing Address - Phone:734-856-6411
Mailing Address - Fax:734-854-2540
Practice Address - Street 1:6588 SECOR RD
Practice Address - Street 2:
Practice Address - City:LAMBERTVILLE
Practice Address - State:MI
Practice Address - Zip Code:48144-9431
Practice Address - Country:US
Practice Address - Phone:734-856-6411
Practice Address - Fax:734-854-2540
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-31
Last Update Date:2007-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301002629111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty