Provider Demographics
NPI:1811966013
Name:WARNER, NICHOLAS FIELD (DC)
Entity type:Individual
Prefix:DR
First Name:NICHOLAS
Middle Name:FIELD
Last Name:WARNER
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 1:14001 N 7TH ST STE 109
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85022-4382
Mailing Address - Country:US
Mailing Address - Phone:602-863-4252
Mailing Address - Fax:602-863-4571
Practice Address - Street 1:14001 N 7TH ST STE 109
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85022-4382
Practice Address - Country:US
Practice Address - Phone:602-863-4252
Practice Address - Fax:602-863-4571
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-17
Last Update Date:2022-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ5803111N00000X
CA24849111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ74455Medicare UPIN
26757Medicare ID - Type Unspecified