Healthcare Provider Details

I. General information

NPI: 1568948370
Provider Name (Legal Business Name): WARNARS CHIROPRACTIC CLINIC PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2018
Last Update Date: 10/09/2024
Certification Date: 10/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

125 E CAPAC RD
IMLAY CITY MI
48444-1111
US

IV. Provider business mailing address

125 E CAPAC RD
IMLAY CITY MI
48444-1111
US

V. Phone/Fax

Practice location:
  • Phone: 810-724-0996
  • Fax: 810-724-4343
Mailing address:
  • Phone: 810-724-0996
  • Fax: 810-724-4343

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2301010435
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL DALTON WARNARS
Title or Position: OWNER
Credential: DC
Phone: 810-724-0996