Healthcare Provider Details

I. General information

NPI: 1538153325
Provider Name (Legal Business Name): JAMES L. WARLICK JR. DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: BEAU L. WARLICK

II. Dates (important events)

Enumeration Date: 09/07/2005
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3085 E MAGIC VIEW DR SUITE 180
MERIDIAN ID
83642-3744
US

IV. Provider business mailing address

3085 E MAGIC VIEW DR SUITE 180
MERIDIAN ID
83642-3744
US

V. Phone/Fax

Practice location:
  • Phone: 208-888-6077
  • Fax: 208-888-0310
Mailing address:
  • Phone: 208-888-6077
  • Fax: 208-888-0310

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number5514
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCHIROPRACTOR
License Number StateID

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: