MEDICARE: DENNIS WAYNE HERMANSON 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	DC26734	CA

General Provider Information

NPI Number	:	1649353491
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DENNIS WAYNE HERMANSON D.C.

Provider Business Mailing Address
First Line	:	3143 APACHE DR
Second Line	:
City	:	COLUMBUS
State	:	GA
Zip	:	31909-5106
Country	:	US
Telephone Number	:	619-847-2126
Fax Number	:

Provider Business Practice Location Address
First Line	:	5331 41ST INFANTRY REGT ST.
Second Line	:
City	:	FORT BENNING
State	:	GA
Zip	:	31905
Country	:	US
Telephone Number	:	706-544-9276
Fax Number	:

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

Provider Enumeration Date	:	10/23/2006
Last Update Date	:	01/25/2026

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