Provider Demographics
NPI:1730596354
Name:SCHWAB, B DIANE (DC)
Entity type:Individual
Prefix:DR
First Name:B DIANE
Middle Name:
Last Name:SCHWAB
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 1:3212 HAMPTON HWY
Mailing Address - Street 2:STE C
Mailing Address - City:YORKTOWN
Mailing Address - State:VA
Mailing Address - Zip Code:23693-4948
Mailing Address - Country:US
Mailing Address - Phone:570-606-8767
Mailing Address - Fax:
Practice Address - Street 1:3212 HAMPTON HWY
Practice Address - Street 2:STE C
Practice Address - City:YORKTOWN
Practice Address - State:VA
Practice Address - Zip Code:23693-4948
Practice Address - Country:US
Practice Address - Phone:570-606-8767
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-15
Last Update Date:2018-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104557130111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor