Provider Demographics
NPI:1487854915
Name:WARBURTON, WILLIAM OLIVER (DC)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:OLIVER
Last Name:WARBURTON
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 1:7605 SE 27TH ST STE 103
Mailing Address - Street 2:
Mailing Address - City:MERCER ISLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98040-2852
Mailing Address - Country:US
Mailing Address - Phone:206-275-4870
Mailing Address - Fax:206-275-4876
Practice Address - Street 1:7605 SE 27TH ST STE 103
Practice Address - Street 2:
Practice Address - City:MERCER ISLAND
Practice Address - State:WA
Practice Address - Zip Code:98040-2852
Practice Address - Country:US
Practice Address - Phone:206-275-4870
Practice Address - Fax:206-275-4876
Is Sole Proprietor?:No
Enumeration Date:2007-07-23
Last Update Date:2009-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00034476111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0207296OtherL & I PROVIDER
WAG8859750Medicare PIN
WAV09172Medicare UPIN