| Featherstone Family Chiropractic and Wellness | |
|
1540 Hwy 116 S Sebastopol CA 95472-4835 | |
| (707) 200-3194 | |
| Not Available |
| Full Name | Featherstone Family Chiropractic and Wellness |
|---|---|
| Speciality | Clinic/Center |
| Location | 1540 Hwy 116 S, Sebastopol, California |
| Authorized Official Name and Position | Jessica Lips Wangerin (PRESIDENT) |
| Authorized Official Contact | 3146094694 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Featherstone Family Chiropractic and Wellness 2336 Westview Way Santa Rosa CA 95403-2384 | Featherstone Family Chiropractic and Wellness 1540 Hwy 116 S Sebastopol CA 95472-4835 Ph: (707) 200-3194 |
| NPI Number | 1124823885 |
|---|---|
| Provider Enumeration Date | 02/17/2025 |
| Last Update Date | 02/17/2025 |
| Certification Date | 02/17/2025 |
| Medicare PECOS PAC ID | 0244754802 |
|---|---|
| Medicare Enrollment ID | O20250404002426 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124823885 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (NU) | Primary |
| Provider Name | Jessica Lips Wangerin |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1619405727 PECOS PAC ID: 1153845714 Enrollment ID: I20250404002555 |
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