Provider Demographics
NPI:1003874272
Name:WHITEMAN, CHRISTOPHER KEITH (DC)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:KEITH
Last Name:WHITEMAN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2525 VENTURA CIR
Mailing Address - Street 2:
Mailing Address - City:MELBOURNE
Mailing Address - State:FL
Mailing Address - Zip Code:32904-7466
Mailing Address - Country:US
Mailing Address - Phone:765-210-0794
Mailing Address - Fax:
Practice Address - Street 1:2090 SARNO RD
Practice Address - Street 2:
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32935-3077
Practice Address - Country:US
Practice Address - Phone:321-608-8888
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-03
Last Update Date:2022-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08002165A111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
INV04345Medicare UPIN