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LAURENT WANNER CHIROPRACTIC INC NPI 1649721523


NPI Information

NPI: 1649721523
Provider Name: LAURENT WANNER CHIROPRACTIC, INC

Doing Business As: WANNER SPORTS & FAMILY CHIROPRACTIC

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
1000 NORTHCREST DR
STE 3
CRESCENT CITY, CA
ZIP 95531
Phone: (707) 465-4132
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LAURENT WANNER CHIROPRACTIC, INC is a chiropractor in Crescent City, CA. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. LAURENT WANNER CHIROPRACTIC, INC NPI is 1649721523. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Wanner Sports & Family 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 Edward Wanner .
The authorized official title is Owner and has the following contact phone number (707) 465-4132.

The enumeration date for this NPI number is 10/17/2016 and was last updated on 10/17/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractorDC0200250CALIFORNIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1DC0200250MEDICARE PINCALIFORNIA
2DC0200250MEDICARE UPINCALIFORNIA
3DC0200250MEDICARE OSCAR/CERTIFICATIONCALIFORNIA
4DC0200250MEDICAIDCALIFORNIA

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: 4/28/2024

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