Healthcare Provider Details
I. General information
NPI: 1851369896
Provider Name (Legal Business Name): WARBURTON HEALTH SERVICES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/08/2006
Last Update Date: 09/18/2009
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7605 SE 27TH ST STE 103
MERCER ISLAND WA
98040-2852
US
IV. Provider business mailing address
7605 SE 27TH ST STE 103
MERCER ISLAND WA
98040-2852
US
V. Phone/Fax
- Phone: 206-275-4870
- Fax: 206-275-4876
- Phone: 206-275-4870
- Fax: 206-275-4876
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | CH00034476 |
| License Number State | WA |
VIII. Authorized Official
Name: DR.
WILLIAM
OLIVER
WARBURTON
Title or Position: OWNER
Credential: DC
Phone: 206-275-4870