Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111N00000X | Chiropractor | DC27884 | CA |
Y | 111NR0200X | Radiology | DC27884 | CA |
Y | 213ER0200X | Radiology | DC27884 | CA |
NPI | 1982688248 |
---|---|
Provider Name | Dr. Chad Douglas Warshel |
First Address | Seneca Falls, NY 13148-9425 |
Second Address | Seneca Falls, NY 13148-9425 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/11/2005 |
Last Update Date | 07/09/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
70 011607 | NY CHIROPRACTIC LICENSE (01) | NY |
DC27884 | CALIFORNIA DC LICENSE (01) | CA |
U88746 | (02) | CA |