MEDICARE: DR. RHONDA WERNER D.C

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	:	1376515056
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RHONDA WERNER D.C

Provider Business Mailing Address
First Line	:	822 CLEARBROOK RD
Second Line	:
City	:	MATTHEWS
State	:	NC
Zip	:	28105-9610
Country	:	US
Telephone Number	:	704-421-2333
Fax Number	:

Provider Business Practice Location Address
First Line	:	1267 EBENEZER ROAD
Second Line	:
City	:	ROCK HILL
State	:	SC
Zip	:	29732
Country	:	US
Telephone Number	:	803-329-6361
Fax Number	:	803-329-0251

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/06/2006
Last Update Date	:	07/09/2007

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