Provider Demographics
NPI:1861660607
Name:MICHAEL A SCHWARTZMAN,DPM, LTD
Entity Type:Organization
Organization Name:MICHAEL A SCHWARTZMAN,DPM, LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:SCHWARTZMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:219-659-3338
Mailing Address - Street 1:1104 119TH ST
Mailing Address - Street 2:
Mailing Address - City:WHITING
Mailing Address - State:IN
Mailing Address - Zip Code:46394-1515
Mailing Address - Country:US
Mailing Address - Phone:219-659-3338
Mailing Address - Fax:219-659-3668
Practice Address - Street 1:1104 119TH ST
Practice Address - Street 2:
Practice Address - City:WHITING
Practice Address - State:IN
Practice Address - Zip Code:46394-1515
Practice Address - Country:US
Practice Address - Phone:219-659-3338
Practice Address - Fax:219-659-3668
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-14
Last Update Date:2008-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN07000927A332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN4788030001Medicare NSC