Provider Demographics
NPI:1326041401
Name:WARNER, JOHN SCOTT (DC)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:SCOTT
Last Name:WARNER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1231 LAKE PLAZA DR
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80906-3571
Mailing Address - Country:US
Mailing Address - Phone:719-576-2225
Mailing Address - Fax:719-576-2235
Practice Address - Street 1:1231 LAKE PLAZA DR
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80906-3571
Practice Address - Country:US
Practice Address - Phone:719-576-2225
Practice Address - Fax:719-576-2235
Is Sole Proprietor?:No
Enumeration Date:2005-05-23
Last Update Date:2015-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO3506111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
COT33485Medicare UPIN
CO801233Medicare ID - Type Unspecified