Individual provider · Type 1 NPI

Mark William Bennallack, DC

Chiropractor · Orange, CA

NPI number 1699842385 Active

Practice location

1234 W Chapman Ave, Suite # 204
Orange, CA 92868-2862

Fax (714) 289-4698

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000XDC22589 (CA)
Sports Physician Chiropractor 111NS0005XDC22589 (CA)

Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

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About NPI 1699842385

Mark William Bennallack, DC's National Provider Identifier is 1699842385, issued on Nov 29, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Orange, CA. The record was last updated on Jun 24, 2008.