Provider Demographics
NPI:1770707804
Name:WARMANN, RICHARD C (DC)
Entity type:Individual
Prefix:
First Name:RICHARD
Middle Name:C
Last Name:WARMANN
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:PO BOX 41
Mailing Address - Street 2:
Mailing Address - City:E MONTPELIER
Mailing Address - State:VT
Mailing Address - Zip Code:05651-0041
Mailing Address - Country:US
Mailing Address - Phone:802-223-2249
Mailing Address - Fax:802-223-2249
Practice Address - Street 1:2783 US RT 2
Practice Address - Street 2:
Practice Address - City:E. MONTPELIER
Practice Address - State:VT
Practice Address - Zip Code:05651
Practice Address - Country:US
Practice Address - Phone:802-223-2249
Practice Address - Fax:802-223-2249
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT006-0000781111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT00006048OtherBLUE CROSS BLUE SHIELD
VT00006048OtherBLUE CROSS BLUE SHIELD