Provider Demographics
NPI:1760938831
Name:WHITT CHIROPRACTIC CARE, LLC
Entity Type:Organization
Organization Name:WHITT CHIROPRACTIC CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:K
Authorized Official - Last Name:WHITT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:606-743-3889
Mailing Address - Street 1:650 MAIN ST
Mailing Address - Street 2:STE C
Mailing Address - City:WEST LIBERTY
Mailing Address - State:KY
Mailing Address - Zip Code:41472-1018
Mailing Address - Country:US
Mailing Address - Phone:606-743-3889
Mailing Address - Fax:606-743-9536
Practice Address - Street 1:650 MAIN ST
Practice Address - Street 2:STE C
Practice Address - City:WEST LIBERTY
Practice Address - State:KY
Practice Address - Zip Code:41472-1018
Practice Address - Country:US
Practice Address - Phone:606-743-3889
Practice Address - Fax:606-743-9536
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-29
Last Update Date:2016-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY5299111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty