MEDICARE: DR. CHAD DOUGLAS WARSHEL DC

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	DC27884	CA
2	111NR0200X	Radiology Chiropractor	DC27884	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	70 011607	OTHER	NY	NY CHIROPRACTIC LICENSE
2	DC27884	OTHER	CA	CALIFORNIA DC LICENSE

General Provider Information

NPI Number	:	1982688248
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHAD DOUGLAS WARSHEL DC

Provider Business Mailing Address
First Line	:	2360 STATE ROUTE 89
Second Line	:
City	:	SENECA FALLS
State	:	NY
Zip	:	13148-9425
Country	:	US
Telephone Number	:	315-568-3297
Fax Number	:

Provider Business Practice Location Address
First Line	:	2360 STATE ROUTE 89
Second Line	:
City	:	SENECA FALLS
State	:	NY
Zip	:	13148-9425
Country	:	US
Telephone Number	:	315-568-3297
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/30/2005
Last Update Date	:	09/07/2013

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