Provider Demographics
NPI:1992877534
Name:SCHWARTZ, MARC GILBERT (DC)
Entity type:Individual
Prefix:DR
First Name:MARC
Middle Name:GILBERT
Last Name:SCHWARTZ
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1010 WEST ST
Mailing Address - Street 2:
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21401-3606
Mailing Address - Country:US
Mailing Address - Phone:410-263-3970
Mailing Address - Fax:443-782-2404
Practice Address - Street 1:1010 WEST ST
Practice Address - Street 2:
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-3606
Practice Address - Country:US
Practice Address - Phone:410-263-3970
Practice Address - Fax:443-782-2404
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD01763111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDU65638Medicare UPIN
MD956M759FMedicare ID - Type Unspecified