Provider Demographics
NPI:1770880544
Name:WARMATH, AIMEE M (DC)
Entity type:Individual
Prefix:
First Name:AIMEE
Middle Name:M
Last Name:WARMATH
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:AIMEE
Other - Middle Name:MARIE
Other - Last Name:STERNBERG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:403 STATE HIGHWAY 110 N
Mailing Address - Street 2:
Mailing Address - City:WHITEHOUSE
Mailing Address - State:TX
Mailing Address - Zip Code:75791-3109
Mailing Address - Country:US
Mailing Address - Phone:903-839-1000
Mailing Address - Fax:903-839-4000
Practice Address - Street 1:101 W HAWKINS PKWY
Practice Address - Street 2:SUITE 7
Practice Address - City:LONGVIEW
Practice Address - State:TX
Practice Address - Zip Code:75605-1815
Practice Address - Country:US
Practice Address - Phone:903-663-2225
Practice Address - Fax:903-839-4000
Is Sole Proprietor?:No
Enumeration Date:2011-02-14
Last Update Date:2011-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11630111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1770880544OtherBCBSTX
TX8V0495OtherBCBSTX
TX8V0495OtherBCBSTX