Provider Demographics
NPI:1386778991
Name:WERNER, CHERYL M (DC)
Entity type:Individual
Prefix:
First Name:CHERYL
Middle Name:M
Last Name:WERNER
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 1:6825 112TH ST E
Mailing Address - Street 2:
Mailing Address - City:PUYALLUP
Mailing Address - State:WA
Mailing Address - Zip Code:98373-4617
Mailing Address - Country:US
Mailing Address - Phone:253-770-0412
Mailing Address - Fax:253-770-0511
Practice Address - Street 1:6825 112TH ST E
Practice Address - Street 2:
Practice Address - City:PUYALLUP
Practice Address - State:WA
Practice Address - Zip Code:98373-4617
Practice Address - Country:US
Practice Address - Phone:253-770-0412
Practice Address - Fax:253-770-0511
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-15
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00002268111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAWE3974OtherREGENCE BLUESHIELD
WA155058155058OtherPREMERA BLUE CROSS
WA601768970OtherUBI
WAP00080215OtherPALMETTO GBA - RR MEDICAR
WAWE3974OtherREGENCE BLUESHIELD
WA155058155058OtherPREMERA BLUE CROSS
WAWE3974OtherREGENCE BLUESHIELD