Provider Demographics
NPI:1326746900
Name:THE WHITTAKER CLINIC OF CHIROPRACTIC
Entity Type:Organization
Organization Name:THE WHITTAKER CLINIC OF CHIROPRACTIC
Other - Org Name:DR. JP WHITTAKER
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:DOCTOR OF CHIROPRACTIC
Authorized Official - Prefix:DR
Authorized Official - First Name:JP
Authorized Official - Middle Name:
Authorized Official - Last Name:WHITTAKER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:832-767-3456
Mailing Address - Street 1:5959 WEST LOOP S STE 590
Mailing Address - Street 2:
Mailing Address - City:BELLAIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77401-2419
Mailing Address - Country:US
Mailing Address - Phone:832-767-3456
Mailing Address - Fax:
Practice Address - Street 1:5959 WEST LOOP S STE 590
Practice Address - Street 2:
Practice Address - City:BELLAIRE
Practice Address - State:TX
Practice Address - Zip Code:77401-2419
Practice Address - Country:US
Practice Address - Phone:832-767-3456
Practice Address - Fax:832-767-3247
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-22
Last Update Date:2023-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty