Individual
DR. CHAD A BENNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
978 GRAVENSTEIN HWY SOUTH, SEBASTOPOL, CA 95472
(707) 495-2192
(866) 822-4613
Mailing address
978 GRAVENSTEIN HWY, SEBASTOPOL, CA 95472
(707) 495-2192
(866) 822-4613
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
1107
HI
111N00000X
Chiropractor
Primary
33705
CA
111N00000X
Chiropractor
5662
OR
111N00000X
Chiropractor
CHR0007015
CO
Other
Enumeration date
06/24/2008
Last updated
10/19/2016
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