Provider Demographics
NPI:1194140491
Name:HOLISTIC NEUROSURGERY & SPINE CARE, PLLC
Entity type:Organization
Organization Name:HOLISTIC NEUROSURGERY & SPINE CARE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:B
Authorized Official - Last Name:SCHWARTZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:610-816-0300
Mailing Address - Street 1:2758 CENTURY BLVD
Mailing Address - Street 2:SUITE 1
Mailing Address - City:WYOMISSING
Mailing Address - State:PA
Mailing Address - Zip Code:19610-3358
Mailing Address - Country:US
Mailing Address - Phone:610-816-0300
Mailing Address - Fax:610-816-0301
Practice Address - Street 1:2758 CENTURY BLVD
Practice Address - Street 2:SUITE 1
Practice Address - City:WYOMISSING
Practice Address - State:PA
Practice Address - Zip Code:19610-3358
Practice Address - Country:US
Practice Address - Phone:610-816-0300
Practice Address - Fax:610-816-0301
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-23
Last Update Date:2014-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD068253L207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological SurgeryGroup - Single Specialty