Provider Demographics
NPI:1669720132
Name:WARVEL CHIROPRACTIC INC
Entity type:Organization
Organization Name:WARVEL CHIROPRACTIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:BRENT
Authorized Official - Middle Name:
Authorized Official - Last Name:WARVEL
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:765-983-2225
Mailing Address - Street 1:1015 S A ST
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:IN
Mailing Address - Zip Code:47374-5523
Mailing Address - Country:US
Mailing Address - Phone:765-983-2225
Mailing Address - Fax:765-983-2223
Practice Address - Street 1:1015 S A ST
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:IN
Practice Address - Zip Code:47374-5523
Practice Address - Country:US
Practice Address - Phone:765-983-2225
Practice Address - Fax:765-983-2223
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-15
Last Update Date:2012-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08001925A111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty