Provider Demographics
NPI:1861608549
Name:SCHWIN, VIRGINIA ELIZABETH (LPN)
Entity type:Individual
Prefix:MRS
First Name:VIRGINIA
Middle Name:ELIZABETH
Last Name:SCHWIN
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:230 S JEFFERSON ST
Mailing Address - Street 2:
Mailing Address - City:MEDINA
Mailing Address - State:OH
Mailing Address - Zip Code:44256-2630
Mailing Address - Country:US
Mailing Address - Phone:330-723-4141
Mailing Address - Fax:
Practice Address - Street 1:230 S JEFFERSON ST
Practice Address - Street 2:
Practice Address - City:MEDINA
Practice Address - State:OH
Practice Address - Zip Code:44256-2630
Practice Address - Country:US
Practice Address - Phone:330-723-4141
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-16
Last Update Date:2011-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH119200164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2708574Medicaid