Provider Demographics
NPI:1982601183
Name:ROBERT W WARNER DC PA
Entity Type:Organization
Organization Name:ROBERT W WARNER DC PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:W
Authorized Official - Last Name:WARNER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:785-843-3033
Mailing Address - Street 1:2112 BOB BILLINGS PKWY
Mailing Address - Street 2:STE 1
Mailing Address - City:LAWRENCE
Mailing Address - State:KS
Mailing Address - Zip Code:66049-2722
Mailing Address - Country:US
Mailing Address - Phone:785-843-3033
Mailing Address - Fax:785-843-3127
Practice Address - Street 1:2112 BOB BILLINGS PKWY
Practice Address - Street 2:STE 1
Practice Address - City:LAWRENCE
Practice Address - State:KS
Practice Address - Zip Code:66049-2722
Practice Address - Country:US
Practice Address - Phone:785-843-3033
Practice Address - Fax:785-843-3127
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-01
Last Update Date:2008-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS01-03798111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO23875019OtherBLUE CROSS OF KANSAS CITY
KS660198OtherBLUE CROSS BLUE SHIELD KS
KS10881944OtherCAQH CREDENTIALING DATA
KS37371OtherPREFERRED HEALTH PROFESSI
KS007359OtherBLUE CROSS BLUE SHIELD
KS160522OtherUNITED HEALTHCARE
KS5305636OtherAETNA
KSDG5147OtherRAILROAD MEDICARE
KS660198OtherBLUE CROSS BLUE SHIELD KS
KSDG5147OtherRAILROAD MEDICARE