Provider Demographics
NPI:1013115377
Name:KREIDER, WENDY (DC)
Entity Type:Individual
Prefix:DR
First Name:WENDY
Middle Name:
Last Name:KREIDER
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 1:16262 WHITTIER BLVD
Mailing Address - Street 2:SUITE 23
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90603-2904
Mailing Address - Country:US
Mailing Address - Phone:562-943-2431
Mailing Address - Fax:562-943-2431
Practice Address - Street 1:16262 WHITTIER BLVD
Practice Address - Street 2:SUITE 23
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90603-2904
Practice Address - Country:US
Practice Address - Phone:562-943-2431
Practice Address - Fax:562-943-2431
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-10
Last Update Date:2007-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC29447111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor