Provider Demographics
NPI:1164115465
Name:MCWHIRT, BROOKE ASHLYN (DC)
Entity Type:Individual
Prefix:
First Name:BROOKE
Middle Name:ASHLYN
Last Name:MCWHIRT
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 1:680 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:UNIONTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15401-2648
Mailing Address - Country:US
Mailing Address - Phone:724-912-6505
Mailing Address - Fax:
Practice Address - Street 1:680 W MAIN ST
Practice Address - Street 2:
Practice Address - City:UNIONTOWN
Practice Address - State:PA
Practice Address - Zip Code:15401-2648
Practice Address - Country:US
Practice Address - Phone:724-916-6505
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-01
Last Update Date:2023-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAJ011402111NR0400X
PADC011848111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No111NR0400XChiropractic ProvidersChiropractorRehabilitation