Wanner Chiropractic

LBN: Wanner Chiropractic
Wanner 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 Managed Care Organizations / Preferred Provider Organization, which is considered as the primary health care specialty. Wanner Chiropractic can be contacted via phone (707) 465-4132, or through Wanner, Laurent E via phone (707) 465-4132.

Contact Information

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

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Preferred Provider Organization 305R00000X DC0200250 California

Profile Details

NPI number 1457759920
LBN Legal business name Wanner Chiropractic
DBA Doing business as Wanner Chiropractic
Authorized official Wanner, Laurent E Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 15th, 2014
Last updated Dec 15th, 2014 - about 11 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 1457759920 NPPES
California MEDICAID 1093892697

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