Provider Demographics
NPI:1225107725
Name:WARNER, NANCY ELIZABETH (DC)
Entity Type:Individual
Prefix:DR
First Name:NANCY
Middle Name:ELIZABETH
Last Name:WARNER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:222 HUNTER STATION RD
Mailing Address - Street 2:
Mailing Address - City:SELLERSBURG
Mailing Address - State:IN
Mailing Address - Zip Code:47172-1876
Mailing Address - Country:US
Mailing Address - Phone:812-246-8808
Mailing Address - Fax:
Practice Address - Street 1:222 HUNTER STATION RD
Practice Address - Street 2:
Practice Address - City:SELLERSBURG
Practice Address - State:IN
Practice Address - Zip Code:47172-1876
Practice Address - Country:US
Practice Address - Phone:812-246-8808
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08001725A111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN001OtherANTHEM BCBS
IN1741285OtherFIRST HEALTH
KYTT29OtherANTHEM BCBC
IN000000043109OtherANTHEM BLUE CARD
IN8189876-001OtherCIGNA
INU68265Medicare UPIN
IN196060Medicare ID - Type Unspecified