Provider Demographics
NPI:1922421221
Name:SWARTZ, DONALD (DC)
Entity Type:Individual
Prefix:
First Name:DONALD
Middle Name:
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:PO BOX 302
Mailing Address - Street 2:435 ROUTE 103
Mailing Address - City:NEWBURY
Mailing Address - State:NH
Mailing Address - Zip Code:03255-0302
Mailing Address - Country:US
Mailing Address - Phone:603-938-5090
Mailing Address - Fax:
Practice Address - Street 1:435 ROUTE 103
Practice Address - Street 2:
Practice Address - City:NEWBURY
Practice Address - State:NH
Practice Address - Zip Code:03255-5506
Practice Address - Country:US
Practice Address - Phone:603-938-5090
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-23
Last Update Date:2014-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH09011490881A111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor