MEDICARE: WARRINGTON CHIROPRACTIC CLINIC CORP

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
1	111N00000X	Chiropractor	CH5934	FL

General Provider Information

NPI Number	:	1154524569
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WARRINGTON CHIROPRACTIC CLINIC CORP

Provider Business Mailing Address
First Line	:	610 N NAVY BLVD
Second Line	:
City	:	PENSACOLA
State	:	FL
Zip	:	32507-1242
Country	:	US
Telephone Number	:	850-457-7999
Fax Number	:

Provider Business Practice Location Address
First Line	:	610 N NAVY BLVD
Second Line	:
City	:	PENSACOLA
State	:	FL
Zip	:	32507-1242
Country	:	US
Telephone Number	:	850-457-7999
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JAMES WILLIAM YENZER JR.
Credential	:	D.C.
Telephone Number	:	850-457-7999

Provider Enumeration Date	:	06/06/2007
Last Update Date	:	12/14/2009

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