| Doctor Name: | JON M SCHWAKE |
| NPI Number: | 1942542543 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | BSN |
| License Number: | 573557 |
| Business Practice Address: | 3362 N Ave # 222 Tinker Afb, OK - 731452000 |
| Business Phone Number: | 4055826570 |
| Business Fax Number: | |
| Mailing Address: | 3362 N Ave # 222, TINKER AFB |
| State: | OK |
| Postal Code: | 731452000 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 03/21/2013 |
| NPI Last Update Date: | 03/21/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP0808X |
| License Number: | 573557 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |