Healthcare Provider Details

I. General information

NPI: 1508071796
Provider Name (Legal Business Name): YAKIMA CHIROPRACTIC CENTRES INC, P.S.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/11/2007
Last Update Date: 10/20/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2508 W NOB HILL
YAKIMA WA
98902-5104
US

IV. Provider business mailing address

2508 W NOB HILL
YAKIMA WA
98902-5104
US

V. Phone/Fax

Practice location:
  • Phone: 509-248-5555
  • Fax: 509-469-4938
Mailing address:
  • Phone: 509-248-5555
  • Fax: 509-469-4938

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH00001572
License Number StateWA

VIII. Authorized Official

Name: DR. BRUCE DAVID WARNINGER
Title or Position: ADMINISTRATOR
Credential: D.C.
Phone: 509-248-5555