Provider Demographics
NPI:1831966944
Name:SCHWIGER, BRYTON JALYNN
Entity type:Individual
Prefix:
First Name:BRYTON
Middle Name:JALYNN
Last Name:SCHWIGER
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 1:676 WILLEY ST APT D2
Mailing Address - Street 2:
Mailing Address - City:MORGANTOWN
Mailing Address - State:WV
Mailing Address - Zip Code:26505-5119
Mailing Address - Country:US
Mailing Address - Phone:304-685-7980
Mailing Address - Fax:
Practice Address - Street 1:676 WILLEY ST APT D2
Practice Address - Street 2:
Practice Address - City:MORGANTOWN
Practice Address - State:WV
Practice Address - Zip Code:26505-5119
Practice Address - Country:US
Practice Address - Phone:304-685-7980
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-08
Last Update Date:2023-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant