Provider Demographics
NPI:1619048790
Name:WHELAN CHIROPRACTIC INC
Entity Type:Organization
Organization Name:WHELAN CHIROPRACTIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT OWNER CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:M
Authorized Official - Last Name:WHELAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:912-232-1900
Mailing Address - Street 1:602 ABERCORN ST
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31401-5702
Mailing Address - Country:US
Mailing Address - Phone:912-232-1900
Mailing Address - Fax:912-232-2281
Practice Address - Street 1:602 ABERCORN ST
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31401-5702
Practice Address - Country:US
Practice Address - Phone:912-232-1900
Practice Address - Fax:912-232-2281
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA005952111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA52775408 001OtherBCBS PROVIDER #
GA52775408 001OtherBCBS PROVIDER #
GA35ZCGKQMedicare ID - Type UnspecifiedMEDICARE PRACTICE ID #