MEDICARE: WERNER INC

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
1	111N00000X	Chiropractor	2955	SC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1518930569
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WERNER INC

Provider Business Mailing Address
First Line	:	1267 EBENEZER RD
Second Line	:
City	:	ROCK HILL
State	:	SC
Zip	:	29732-2353
Country	:	US
Telephone Number	:	803-329-6361
Fax Number	:	866-926-0449

Provider Business Practice Location Address
First Line	:	1267 EBENEZER RD
Second Line	:
City	:	ROCK HILL
State	:	SC
Zip	:	29732-2353
Country	:	US
Telephone Number	:	803-329-6361
Fax Number	:	866-926-0449

Authorized Official
Title or Position	:	OWNER
Name	:	RHONDA WERNER
Credential	:	DC
Telephone Number	:	803-329-6361

Provider Enumeration Date	:	02/09/2006
Last Update Date	:	12/26/2012

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Directions to “WERNER INC ” Practice Location

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