Individual provider · Type 1 NPI
Chad A. Bennis, DC
Chiropractor · Sebastopol, CA
NPI number
1720249485
Active
Practice location
978 Gravenstein Hwy South
Sebastopol, CA 95472
Fax (866) 822-4613
Mailing address
978 Gravenstein Hwy
Sebastopol, CA 95472
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor | 111N00000X | 1107 (HI) |
| Chiropractor | 111N00000X | CHR0007015 (CO) |
| Chiropractor Primary | 111N00000X | 33705 (CA) |
| Chiropractor | 111N00000X | 5662 (OR) |
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 1720249485
Chad A. Bennis, DC's National Provider Identifier is 1720249485, issued on Jun 24, 2008. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Sebastopol, CA. The record was last updated on Oct 19, 2016.