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NPI Code Detail

MEDICARE: CHRISTIAN WERNESS DC LLC

MEDICARE: CHRISTIAN WERNESS DC LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor3304NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11215955091OTHERNCNPI
23304OTHERNCSTATE OF NC CHIROPRACTIC LICENSE
3085U1OTHERNCBCBS
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
53754500OTHERNCAETNA
6U66814OTHERNCUPIN
7101297OTHERNCACN
85610262OTHERNCFIRST HEALTH

General Provider Information

NPI Number : 1245483080
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHRISTIAN WERNESS DC LLC
Provider Business Mailing Address
First Line : 2305 DUNN RD
Second Line :
City : RALEIGH
State : NC
Zip : 27614-8661
Country : US
Telephone Number : 919-847-1194
Fax Number : 919-402-0249
Provider Business Practice Location Address
First Line : 6110 FALCONBRIDGE RD
Second Line : SUITE 100
City : CHAPEL HILL
State : NC
Zip : 27517-7875
Country : US
Telephone Number : 919-401-9933
Fax Number : 919-402-0249
Authorized Official
Title or Position : OWNER
Name : DR. CHRISTIAN DAVID WERNESS
Credential : DC
Telephone Number : 919-401-9933
Provider Enumeration Date : 10/24/2008
Last Update Date : 09/27/2010

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Directions to “CHRISTIAN WERNESS DC LLC ” Practice Location

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