LAURENT WANNER CHIROPRACTIC INC. NPI 1720387228

NPI Information

  • NPI: 1720387228
  • Provider Name: LAURENT WANNER CHIROPRACTIC, INC.
  • Classification: Clinic/Center - 261QH0100X
  • Specialization: Health Service
  • Entity Type: Organization
  • Doing Business As: WANNER SPORTS & FAMILY CHIROPRACTIC
  • Address: 1000 NORTHCREST DR STE 3
    CRESCENT CITY, CA
    ZIP 95531
  • Phone: (707) 465-4132

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NPI Details

LAURENT WANNER CHIROPRACTIC, INC. is a health service clinic center in Crescent City, CA. LAURENT WANNER CHIROPRACTIC, INC. NPI is 1720387228. The provider is registered as an organization entity type.
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 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 3/23/2011 and was last updated on 4/8/2011.

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
1261QH0100XClinic/CenterHealth Service200250CALIFORNIAYes

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
1DC0200250MEDICAIDCALIFORNIA

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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