Provider Demographics
NPI:1942533716
Name:SCHWARTZ, EDWARD G (DC)
Entity Type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:G
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 1:4207 MONROE ST
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43606-1975
Mailing Address - Country:US
Mailing Address - Phone:419-725-2424
Mailing Address - Fax:419-725-2425
Practice Address - Street 1:4207 MONROE ST
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43606-1975
Practice Address - Country:US
Practice Address - Phone:419-725-2424
Practice Address - Fax:419-725-2425
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-11
Last Update Date:2012-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4002111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor