MEDICARE: DR. JAMIE W WARNER DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	B01218	NV

General Provider Information

NPI Number	:	1770635815
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMIE W WARNER DC

Provider Business Mailing Address
First Line	:	PO BOX 36853
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89133-6853
Country	:	US
Telephone Number	:	702-644-3333
Fax Number	:	702-644-3336

Provider Business Practice Location Address
First Line	:	2960 SAINT ROSE PKWY
Second Line	:	SUITE 150
City	:	HENDERSON
State	:	NV
Zip	:	89052-4447
Country	:	US
Telephone Number	:	702-617-4598
Fax Number	:	702-492-6368

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/17/2007
Last Update Date	:	01/30/2014

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