Provider Demographics
NPI:1184971947
Name:SCHWARTZ, STEVEN (LAC, LMT)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:
Last Name:SCHWARTZ
Suffix:
Gender:M
Credentials:LAC, LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2444 TAZEWELL HWY
Mailing Address - Street 2:
Mailing Address - City:SNEEDVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37869-6004
Mailing Address - Country:US
Mailing Address - Phone:423-300-0786
Mailing Address - Fax:
Practice Address - Street 1:2444 TAZEWELL HWY
Practice Address - Street 2:
Practice Address - City:SNEEDVILLE
Practice Address - State:TN
Practice Address - Zip Code:37869-6004
Practice Address - Country:US
Practice Address - Phone:423-300-0786
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-11
Last Update Date:2012-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNACU0000000169171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist