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Organization

SPINALIGN PC

Active
Other names
Warren Chiropractic Center
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DONALD PAUL WARREN DC (OWNER/PRESIDENT)
(574) 679-0100
Entity
Organization

Contact information

Practice address
5432 LINCOLN WAY E, OSCEOLA, IN 46561-1960
(574) 679-0100
(574) 675-9586
Mailing address
5432 LINCOLN WAY E, OSCEOLA, IN 46561-1960
(574) 679-0100
(574) 675-9586

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08001279
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000089524
ANTHEM
IN
05
100468590
IN
01
168920
MEDICARE
IN
Enumeration date
11/06/2007
Last updated
12/16/2014
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