Provider Demographics
NPI:1922198159
Name:SCHWEIN FOOT & ANKLE CLINIC, INC
Entity Type:Organization
Organization Name:SCHWEIN FOOT & ANKLE CLINIC, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:O
Authorized Official - Last Name:SCHWEIN
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:419-524-6772
Mailing Address - Street 1:377 MARION AVE
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:44903-2064
Mailing Address - Country:US
Mailing Address - Phone:419-524-6772
Mailing Address - Fax:419-524-3134
Practice Address - Street 1:377 MARION AVE
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:OH
Practice Address - Zip Code:44903-2064
Practice Address - Country:US
Practice Address - Phone:419-524-6772
Practice Address - Fax:419-524-3134
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-16
Last Update Date:2021-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000210290Medicaid
OH2769973Medicaid
OH2769973Medicaid