Provider Demographics
NPI:1508570433
Name:WHIPPLE, TODD FRANKLIN
Entity Type:Individual
Prefix:
First Name:TODD
Middle Name:FRANKLIN
Last Name:WHIPPLE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:395 N TOUSSAINT SOUTH RD
Mailing Address - Street 2:
Mailing Address - City:OAK HARBOR
Mailing Address - State:OH
Mailing Address - Zip Code:43449-9086
Mailing Address - Country:US
Mailing Address - Phone:567-342-4468
Mailing Address - Fax:
Practice Address - Street 1:395 N TOUSSAINT SOUTH RD
Practice Address - Street 2:
Practice Address - City:OAK HARBOR
Practice Address - State:OH
Practice Address - Zip Code:43449-9086
Practice Address - Country:US
Practice Address - Phone:567-342-4468
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-05
Last Update Date:2023-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172A00000XOther Service ProvidersDriverGroup - Single Specialty