Provider Demographics
NPI:1780901751
Name:WAYNE PRESS CHIROPRACTIC INC.
Entity type:Organization
Organization Name:WAYNE PRESS CHIROPRACTIC INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:WAYNE
Authorized Official - Middle Name:
Authorized Official - Last Name:PRESS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:805-527-7246
Mailing Address - Street 1:495 E LOS ANGELES AVE
Mailing Address - Street 2:SUITE 106
Mailing Address - City:SIMI VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:93065-7706
Mailing Address - Country:US
Mailing Address - Phone:805-527-7246
Mailing Address - Fax:805-527-9648
Practice Address - Street 1:495 E LOS ANGELES AVE
Practice Address - Street 2:SUITE 106
Practice Address - City:SIMI VALLEY
Practice Address - State:CA
Practice Address - Zip Code:93065-7706
Practice Address - Country:US
Practice Address - Phone:805-527-7246
Practice Address - Fax:805-527-9648
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-29
Last Update Date:2010-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA18197111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedicGroup - Single Specialty