Provider Demographics
NPI:1871591081
Name:SCHWARTZ, PETER J (DC)
Entity type:Individual
Prefix:DR
First Name:PETER
Middle Name:J
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:PO BOX 326
Mailing Address - Street 2:
Mailing Address - City:SPENCER
Mailing Address - State:MA
Mailing Address - Zip Code:01562-0326
Mailing Address - Country:US
Mailing Address - Phone:508-885-5828
Mailing Address - Fax:508-885-5828
Practice Address - Street 1:266 MAIN ST
Practice Address - Street 2:
Practice Address - City:SPENCER
Practice Address - State:MA
Practice Address - Zip Code:01562-1846
Practice Address - Country:US
Practice Address - Phone:508-885-5828
Practice Address - Fax:508-885-5828
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA364111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA2599617OtherCIGNA
MA000364OtherTUFTS
MAY35226OtherBLUE SHIELD
MA351070OtherHARVARD-PILGRIM
MA1602357OtherMASSHEALTH
MA440031OtherUNITED HEALTH CARE
MA546255OtherAETNA
MAPS1032015OtherASHN
MAPS1032015OtherASHN
MA2599617OtherCIGNA