Provider Demographics
NPI:1366592370
Name:VARNEY, DAVID WARREN (DC)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:WARREN
Last Name:VARNEY
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 1:1071F AUBURN RD
Mailing Address - Street 2:
Mailing Address - City:TURNER
Mailing Address - State:ME
Mailing Address - Zip Code:04282-4157
Mailing Address - Country:US
Mailing Address - Phone:207-225-5949
Mailing Address - Fax:207-225-5959
Practice Address - Street 1:1071F AUBURN RD
Practice Address - Street 2:
Practice Address - City:TURNER
Practice Address - State:ME
Practice Address - Zip Code:04282-4157
Practice Address - Country:US
Practice Address - Phone:207-225-5949
Practice Address - Fax:207-225-5959
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-11
Last Update Date:2017-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME702111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME120090000Medicaid
MEMM0798Medicare ID - Type Unspecified
ME120090000Medicaid