Provider Demographics
NPI:1861784258
Name:SCHWAB, JEFFREY ANDREW (DC)
Entity type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:ANDREW
Last Name:SCHWAB
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 1:8500 BELCHER RD N
Mailing Address - Street 2:APT 1201
Mailing Address - City:PINELLAS PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33781-1015
Mailing Address - Country:US
Mailing Address - Phone:847-212-2019
Mailing Address - Fax:
Practice Address - Street 1:25712 US 19 N
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33763-2011
Practice Address - Country:US
Practice Address - Phone:727-799-2225
Practice Address - Fax:727-799-2226
Is Sole Proprietor?:No
Enumeration Date:2011-05-04
Last Update Date:2011-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH 10282111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor