Wanner Sports & Family Chiropractic

LBN: Laurent Wanner Chiropractic, Inc
Wanner Sports & Family Chiropractic is an health care organization with primary practice located at 1000 Northcrest Dr Ste 3, Crescent City CA 95531-2317. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Laurent Wanner Chiropractic, Inc can be contacted via phone (707) 465-4132, or through Wanner, Laurent Edward via phone (707) 465-4132.

Contact Information

Primary practice address
1000 Northcrest Dr Ste 3 Crescent City CA 95531-2317
Fax: (707) 465-4132
Website:
Authorized official contact:
Name: Wanner, Laurent Edward Doctor of Chiropractic (DC)

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X DC0200250 California

Profile Details

NPI number 1649721523
LBN Legal business name Laurent Wanner Chiropractic, Inc
DBA Doing business as Wanner Sports & Family Chiropractic
Authorized official Wanner, Laurent Edward Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 17th, 2016
Last updated Oct 17th, 2016 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649721523 NPPES
California MEDICAID DC0200250

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