Doctor Name: | JASON MICHAEL SCHWIETZ |
NPI Number: | 1992085690 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DC |
License Number: | 5242 |
Business Practice Address: | 1900 County Road D E Ste 150 Maplewood, MN - 551095009 |
Business Phone Number: | 6512491024 |
Business Fax Number: | |
Mailing Address: | 1900 County Road D E Ste 150, MAPLEWOOD |
State: | MN |
Postal Code: | 551095009 |
Phone Number: | 6512491024 |
Fax Number: | |
NPI Enumeration Date: | 08/25/2011 |
NPI Last Update Date: | 05/07/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 5242 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |