Provider Demographics
NPI:1215182050
Name:WAYNE, MARTINE ROMI (DC)
Entity Type:Individual
Prefix:DR
First Name:MARTINE
Middle Name:ROMI
Last Name:WAYNE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1100 S COAST HWY STE 215
Mailing Address - Street 2:
Mailing Address - City:LAGUNA BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92651-2970
Mailing Address - Country:US
Mailing Address - Phone:949-376-3030
Mailing Address - Fax:949-376-3028
Practice Address - Street 1:1100 S COAST HWY STE 215
Practice Address - Street 2:
Practice Address - City:LAGUNA BEACH
Practice Address - State:CA
Practice Address - Zip Code:92651-2970
Practice Address - Country:US
Practice Address - Phone:949-376-3030
Practice Address - Fax:949-376-3028
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-20
Last Update Date:2008-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC-30965111NP0017X, 111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NP0017XChiropractic ProvidersChiropractorPediatric Chiropractor
No111NS0005XChiropractic ProvidersChiropractorSports Physician