Provider Demographics
NPI:1891764569
Name:WARVEL, BRENT ALLEN (DC)
Entity Type:Individual
Prefix:DR
First Name:BRENT
Middle Name:ALLEN
Last Name:WARVEL
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 1:45 W GREEN MEADOWS DR
Mailing Address - Street 2:SUITE A
Mailing Address - City:GREENFIELD
Mailing Address - State:IN
Mailing Address - Zip Code:46140-3095
Mailing Address - Country:US
Mailing Address - Phone:317-462-2200
Mailing Address - Fax:317-462-6945
Practice Address - Street 1:45 W GREEN MEADOWS DR
Practice Address - Street 2:SUITE A
Practice Address - City:GREENFIELD
Practice Address - State:IN
Practice Address - Zip Code:46140-3095
Practice Address - Country:US
Practice Address - Phone:317-462-2200
Practice Address - Fax:317-462-6945
Is Sole Proprietor?:No
Enumeration Date:2006-03-15
Last Update Date:2012-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08001925A111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN350055716OtherRRMR
IN350055716OtherRRMR