Provider Demographics
NPI:1528243912
Name:SCHWARTZMAN, IGOR N (ND)
Entity type:Individual
Prefix:DR
First Name:IGOR
Middle Name:N
Last Name:SCHWARTZMAN
Suffix:
Gender:M
Credentials:ND
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 513
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:VT
Mailing Address - Zip Code:05445-0513
Mailing Address - Country:US
Mailing Address - Phone:802-490-5009
Mailing Address - Fax:503-853-8615
Practice Address - Street 1:145 PINE HAVEN SHORES RD STE 1011
Practice Address - Street 2:
Practice Address - City:SHELBURNE
Practice Address - State:VT
Practice Address - Zip Code:05482-7812
Practice Address - Country:US
Practice Address - Phone:802-490-5009
Practice Address - Fax:503-853-8615
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-03
Last Update Date:2024-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR1588175F00000X
VT099.0134123175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath