Provider Demographics
NPI:1578983144
Name:WHELAN, JAMES HAZELTON (DPM)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:HAZELTON
Last Name:WHELAN
Suffix:
Gender:M
Credentials:DPM
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Mailing Address - Street 1:BELOIT HEALTH SYSTEM INC
Mailing Address - Street 2:1905 E. HUEBBE PARKWAY
Mailing Address - City:BELOIT
Mailing Address - State:WI
Mailing Address - Zip Code:53511-1842
Mailing Address - Country:US
Mailing Address - Phone:608-364-2293
Mailing Address - Fax:608-364-5452
Practice Address - Street 1:BELOIT HEALTH SYSTEM INC
Practice Address - Street 2:1905 E. HUEBBE PARKWAY
Practice Address - City:BELOIT
Practice Address - State:WI
Practice Address - Zip Code:53511-1842
Practice Address - Country:US
Practice Address - Phone:608-364-1640
Practice Address - Fax:608-363-7393
Is Sole Proprietor?:No
Enumeration Date:2014-04-23
Last Update Date:2020-03-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NE367213ES0103X
WI1114-25213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery