Provider Demographics
NPI:1306913967
Name:SCHWEYEN, JODY ANN (DC)
Entity type:Individual
Prefix:DR
First Name:JODY
Middle Name:ANN
Last Name:SCHWEYEN
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:PO BOX 37
Mailing Address - Street 2:
Mailing Address - City:PORT ANGELES
Mailing Address - State:WA
Mailing Address - Zip Code:98362-0006
Mailing Address - Country:US
Mailing Address - Phone:360-582-9087
Mailing Address - Fax:
Practice Address - Street 1:719 S LAUREL ST
Practice Address - Street 2:
Practice Address - City:PORT ANGELES
Practice Address - State:WA
Practice Address - Zip Code:98362-6020
Practice Address - Country:US
Practice Address - Phone:360-582-9087
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00033798111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAU65075Medicare UPIN