Provider Demographics
NPI:1023447125
Name:SCHWARTZ CHIROPRACTIC PC
Entity type:Organization
Organization Name:SCHWARTZ CHIROPRACTIC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PHILIP
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHWARTZ
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:702-737-0564
Mailing Address - Street 1:3300 E FLAMINGO RD
Mailing Address - Street 2:SUITE NUMBER 11
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89121-4307
Mailing Address - Country:US
Mailing Address - Phone:702-737-0546
Mailing Address - Fax:702-737-8667
Practice Address - Street 1:3300 E FLAMINGO RD
Practice Address - Street 2:SUITE 11
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89121-4307
Practice Address - Country:US
Practice Address - Phone:702-737-0564
Practice Address - Fax:702-737-8667
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-08
Last Update Date:2013-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVB00241111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty