Provider Demographics
NPI:1538153325
Name:WARLICK, JAMES L (DC)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:L
Last Name:WARLICK
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9420 W BELL RD
Mailing Address - Street 2:SUITE 105
Mailing Address - City:SUN CITY
Mailing Address - State:AZ
Mailing Address - Zip Code:85351-1362
Mailing Address - Country:US
Mailing Address - Phone:623-815-1800
Mailing Address - Fax:623-815-0500
Practice Address - Street 1:851 E ELK AVE
Practice Address - Street 2:
Practice Address - City:ELIZABETHTON
Practice Address - State:TN
Practice Address - Zip Code:37643-2946
Practice Address - Country:US
Practice Address - Phone:423-542-2913
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-07
Last Update Date:2022-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ5514111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ144436OtherMEDICARE PTAN
AZU41257Medicare UPIN
AZ63901Medicare ID - Type Unspecified