Dr. Chad A Bennis, dc
Chiropractor in Sebastopol, CA. Individual provider (NPI-1).
NPI number1720249485
StatusActive
Last updated in NPPESOct 19, 2016
Details
- NPI
- 1720249485
- Entity type
- Individual (NPI-1)
- Name
- Dr. Chad A Bennis
- Credential
- dc
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 24, 2008
- Last updated
- Oct 19, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | 33705 | CA | Yes |
| 111N00000X | Chiropractor | 1107 | HI | |
| 111N00000X | Chiropractor | chr0007015 | CO | |
| 111N00000X | Chiropractor | 5662 | OR |
Practice location
978 Gravenstein Hwy SouthSebastopol, CA 95472
Phone 707-495-2192 · Fax 866-822-4613
Mailing address
978 Gravenstein HwySebastopol, CA 95472
Phone 707-495-2192 · Fax 866-822-4613
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