Provider Demographics
NPI:1932110327
Name:SCHWEIZER, ERIC LEIGH (DC)
Entity Type:Individual
Prefix:
First Name:ERIC
Middle Name:LEIGH
Last Name:SCHWEIZER
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 1:400 S LEEBRICK
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:IA
Mailing Address - Zip Code:52601-2972
Mailing Address - Country:US
Mailing Address - Phone:319-753-6086
Mailing Address - Fax:319-753-3426
Practice Address - Street 1:400 S LEEBRICK
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:IA
Practice Address - Zip Code:52601
Practice Address - Country:US
Practice Address - Phone:319-753-6086
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA05585111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA1077123Medicaid
IA1077123Medicaid
IA05204Medicare ID - Type Unspecified