WANNER CHIROPRACTIC NPI 1457759920

NPI Information

  • NPI: 1457759920
  • Provider Name: WANNER CHIROPRACTIC
  • Classification: Preferred Provider Organization - 305R00000X
  • Entity Type: Organization
  • Doing Business As: WANNER CHIROPRACTIC
  • Address: 1000 NORTHCREST DR STE 3
    CRESCENT CITY, CA
    ZIP 95531
  • Phone: (707) 465-4132

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NPI Details

WANNER CHIROPRACTIC is a preferred provider organization in Crescent City, CA. The provider is a group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. WANNER CHIROPRACTIC NPI is 1457759920. The provider is registered as an organization entity type.
The provider Is Doing Business As Wanner Chiropractic.

The provider's business location address is:

1000 NORTHCREST DR STE 3
CRESCENT CITY, CA
ZIP 95531-317
Phone: (707) 465-4132
Fax: (707) 465-4132

The provider's authorized official is Laurent E Wanner .
The authorized official title is Doctor Of Chiropractic and has the following contact phone number (707) 465-4132.

The enumeration date for this NPI number is 12/15/2014 and was last updated on 12/15/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1305R00000XPreferred Provider OrganizationDC0200250CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11093892697MEDICARE NSCCALIFORNIA
21093892697MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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