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NPI Code Detail

MEDICARE: WARNER CHIROPRACTIC CLINIC LTD

MEDICARE: WARNER CHIROPRACTIC CLINIC LTD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractorIL

General Provider Information

NPI Number : 1013007020
Entity Type Code : Organization
Provider Name (Legal Business Name) : WARNER CHIROPRACTIC CLINIC LTD
Provider Business Mailing Address
First Line : 4855 E STATE ST
Second Line :
City : ROCKFORD
State : IL
Zip : 61108-2274
Country : US
Telephone Number : 815-398-8111
Fax Number : 815-398-8132
Provider Business Practice Location Address
First Line : 4855 E STATE ST
Second Line :
City : ROCKFORD
State : IL
Zip : 61108-2274
Country : US
Telephone Number : 815-398-8111
Fax Number : 815-398-8132
Authorized Official
Title or Position : PRESIDENT
Name : DR. JAMES CARL WARNER
Credential : DC
Telephone Number : 815-398-8111
Provider Enumeration Date : 10/13/2006
Last Update Date : 04/11/2008

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Directions to “WARNER CHIROPRACTIC CLINIC LTD ” Practice Location

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