Provider Demographics
NPI:1922315134
Name:SCHWARTZ, NIKKI (DC)
Entity Type:Individual
Prefix:DR
First Name:NIKKI
Middle Name:
Last Name:SCHWARTZ
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:160 RIDGE RD
Mailing Address - Street 2:#12
Mailing Address - City:SANTA FE
Mailing Address - State:NM
Mailing Address - Zip Code:87505-4583
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:160 RIDGE RD
Practice Address - Street 2:#12
Practice Address - City:SANTA FE
Practice Address - State:NM
Practice Address - Zip Code:87505-4583
Practice Address - Country:US
Practice Address - Phone:505-982-2171
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-09
Last Update Date:2010-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM1017111N00000X
CA15750111N00000X
NY003839111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor