Provider Demographics
NPI:1942309984
Name:SCHWARTZ, JAY HOWARD (DC)
Entity Type:Individual
Prefix:DR
First Name:JAY
Middle Name:HOWARD
Last Name:SCHWARTZ
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 1:5266 OFFICE PARK BLVD # S201
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34203-3442
Mailing Address - Country:US
Mailing Address - Phone:941-365-6400
Mailing Address - Fax:845-507-1153
Practice Address - Street 1:5266 OFFICE PARK BLVD # S201
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34203-3442
Practice Address - Country:US
Practice Address - Phone:941-365-6400
Practice Address - Fax:845-507-1153
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-22
Last Update Date:2019-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH9686111NN0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN0400XChiropractic ProvidersChiropractorNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYT52280Medicare UPIN
NYX17011Medicare ID - Type Unspecified