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NPI Code Detail

MEDICARE: DR. JEREMY WARDEN D.C.

MEDICARE:  DR. JEREMY  WARDEN  D.C.
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
1111NT0100XThermography Chiropractor3336OH

General Provider Information

NPI Number : 1710989942
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JEREMY WARDEN D.C.
Provider Business Mailing Address
First Line : 6913 S DWYER RD
Second Line :
City : OKEANA
State : OH
Zip : 45053-9409
Country : US
Telephone Number : 513-738-3999
Fax Number :
Provider Business Practice Location Address
First Line : 2605 CINCINNATI BROOKVILLE RD
Second Line :
City : FAIRFIELD
State : OH
Zip : 45014-5905
Country : US
Telephone Number : 513-738-3999
Fax Number : 513-738-2968
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2005
Last Update Date : 07/08/2007

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Directions to “ DR. JEREMY WARDEN D.C.” Practice Location

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