Healthcare Provider Details

I. General information

NPI: 1932821824
Provider Name (Legal Business Name): WARNINGER HEALTHCARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2022
Last Update Date: 09/16/2022
Certification Date: 09/16/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1619 N 9TH ST STE 9
STROUDSBURG PA
18360-6501
US

IV. Provider business mailing address

1619 N 9TH ST STE 9
STROUDSBURG PA
18360-6501
US

V. Phone/Fax

Practice location:
  • Phone: 570-664-7573
  • Fax:
Mailing address:
  • Phone: 570-664-7573
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NX0800X
TaxonomyOrthopedic Chiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JONATHON J WARNINGER
Title or Position: OWNER
Credential: DC
Phone: 570-664-7573