Individual
DR. DONALD PAUL WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
5432 LINCOLNWAY EAST, OSCEOLA, IN 46561
(574) 679-0100
(574) 675-9586
Mailing address
PO BOX 139, OSCEOLA, IN 46561-0139
(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
PTAN
IN
Enumeration date
12/27/2005
Last updated
12/16/2014
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