Provider Demographics
NPI:1902923311
Name:WARE CHIROPRACTIC CLINIC
Entity Type:Organization
Organization Name:WARE CHIROPRACTIC CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:WARE
Authorized Official - Suffix:
Authorized Official - Credentials:BS, MA,DC
Authorized Official - Phone:972-437-6373
Mailing Address - Street 1:2129 BUCKINGHAM RD
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75081-5477
Mailing Address - Country:US
Mailing Address - Phone:972-437-6373
Mailing Address - Fax:972-437-6396
Practice Address - Street 1:2129 BUCKINGHAM RD
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75081-5477
Practice Address - Country:US
Practice Address - Phone:972-437-6373
Practice Address - Fax:972-437-6396
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXT16481Medicare UPIN
TX601714Medicare ID - Type Unspecified