Provider Demographics
NPI:1497862775
Name:WHYBREW, RHONDA E (DOCTOR OF CHIROPRACT)
Entity Type:Individual
Prefix:DR
First Name:RHONDA
Middle Name:E
Last Name:WHYBREW
Suffix:
Gender:F
Credentials:DOCTOR OF CHIROPRACT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1122 MALCOLM AVE
Mailing Address - Street 2:
Mailing Address - City:NEWPORT
Mailing Address - State:AR
Mailing Address - Zip Code:72112-3506
Mailing Address - Country:US
Mailing Address - Phone:870-523-2225
Mailing Address - Fax:870-523-9000
Practice Address - Street 1:1122 MALCOLM AVE
Practice Address - Street 2:
Practice Address - City:NEWPORT
Practice Address - State:AR
Practice Address - Zip Code:72112-3506
Practice Address - Country:US
Practice Address - Phone:870-523-2225
Practice Address - Fax:870-523-9000
Is Sole Proprietor?:No
Enumeration Date:2006-08-24
Last Update Date:2020-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR1124111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR114324718Medicaid