Provider Demographics
NPI:1649252271
Name:SCHWARTZ-WEBB, MICHELLE LEE (DC)
Entity type:Individual
Prefix:DR
First Name:MICHELLE
Middle Name:LEE
Last Name:SCHWARTZ-WEBB
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3301 HIGHWAY 71
Mailing Address - Street 2:SUITE 1
Mailing Address - City:SPIRIT LAKE
Mailing Address - State:IA
Mailing Address - Zip Code:51360-7634
Mailing Address - Country:US
Mailing Address - Phone:712-336-4848
Mailing Address - Fax:712-336-4980
Practice Address - Street 1:3301 HIGHWAY 71
Practice Address - Street 2:SUITE 1
Practice Address - City:SPIRIT LAKE
Practice Address - State:IA
Practice Address - Zip Code:51360-7634
Practice Address - Country:US
Practice Address - Phone:712-336-4848
Practice Address - Fax:712-336-4980
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA05750111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN4C971SCOtherBLUE CROSS OF MINNESTOA
IA1102608Medicaid
IA1102608Medicaid
IA45255Medicare UPIN