Provider Demographics
NPI:1780146209
Name:SCHWABENBAUER, THOMAS V
Entity type:Individual
Prefix:
First Name:THOMAS
Middle Name:V
Last Name:SCHWABENBAUER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 POLK ST
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:PA
Mailing Address - Zip Code:16323-2412
Mailing Address - Country:US
Mailing Address - Phone:814-437-6582
Mailing Address - Fax:
Practice Address - Street 1:6 POLK ST
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:PA
Practice Address - Zip Code:16323-2412
Practice Address - Country:US
Practice Address - Phone:814-437-6582
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-03
Last Update Date:2019-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program