Provider Demographics
NPI:1487682639
Name:SCHWARTZ, ERIN ANN (DC)
Entity type:Individual
Prefix:DR
First Name:ERIN
Middle Name:ANN
Last Name:SCHWARTZ
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 1:44 EDWARDS AVE
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:KY
Mailing Address - Zip Code:41042-2437
Mailing Address - Country:US
Mailing Address - Phone:859-746-2613
Mailing Address - Fax:
Practice Address - Street 1:106 N MAIN ST
Practice Address - Street 2:
Practice Address - City:OWENTON
Practice Address - State:KY
Practice Address - Zip Code:40359-1431
Practice Address - Country:US
Practice Address - Phone:502-484-2319
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-28
Last Update Date:2015-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3906111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY85001048Medicaid
KY0643402Medicare PIN
6434Medicare ID - Type Unspecified
KY611277360Medicare UPIN