Provider Demographics
NPI:1073894309
Name:WHETTON CHIROPRACTIC HEALTH CENTER CORP
Entity Type:Organization
Organization Name:WHETTON CHIROPRACTIC HEALTH CENTER CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF CHIROPRACTIC/INCORPORATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:ORRIN
Authorized Official - Last Name:WHETTON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:801-393-8880
Mailing Address - Street 1:4638 S 3500 W
Mailing Address - Street 2:SUITE 6
Mailing Address - City:WEST HAVEN
Mailing Address - State:UT
Mailing Address - Zip Code:84401-6505
Mailing Address - Country:US
Mailing Address - Phone:801-393-8880
Mailing Address - Fax:801-393-8881
Practice Address - Street 1:4638 S 3500 W
Practice Address - Street 2:SUITE 6
Practice Address - City:WEST HAVEN
Practice Address - State:UT
Practice Address - Zip Code:84401-6505
Practice Address - Country:US
Practice Address - Phone:801-393-8880
Practice Address - Fax:801-393-8881
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-31
Last Update Date:2011-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT80104201202111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NN1001XChiropractic ProvidersChiropractorNutritionGroup - Single Specialty