MEDICARE: DOCWAYNE HEALING 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

General Provider Information

NPI Number	:	1942779848
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DOCWAYNE HEALING INC

Provider Business Mailing Address
First Line	:	2124 S EL CAMINO REAL STE 101
Second Line	:
City	:	OCEANSIDE
State	:	CA
Zip	:	92054-6211
Country	:	US
Telephone Number	:	760-405-4787
Fax Number	:

Provider Business Practice Location Address
First Line	:	2124 S EL CAMINO REAL STE 101
Second Line	:
City	:	OCEANSIDE
State	:	CA
Zip	:	92054-6211
Country	:	US
Telephone Number	:	760-405-4787
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	WAYNE SCHELLER
Credential	:	DC
Telephone Number	:	760-405-4787

Provider Enumeration Date	:	11/20/2018
Last Update Date	:	11/20/2018

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Directions to “DOCWAYNE HEALING INC ” Practice Location

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