Provider Demographics
NPI:1750182457
Name:NEUROLOGY AMERICA LLC
Entity type:Organization
Organization Name:NEUROLOGY AMERICA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:WARKENTIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-221-7395
Mailing Address - Street 1:4838 E BASELINE RD STE 114
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85206-4674
Mailing Address - Country:US
Mailing Address - Phone:480-969-4040
Mailing Address - Fax:480-295-3722
Practice Address - Street 1:4838 E BASELINE RD STE 114
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85206-4674
Practice Address - Country:US
Practice Address - Phone:480-969-4040
Practice Address - Fax:480-295-3722
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-20
Last Update Date:2025-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NN0400XChiropractic ProvidersChiropractorNeurologyGroup - Multi-Specialty