Provider Demographics
NPI:1851017198
Name:WHALEN, AMBERLEY PAIGE (DC)
Entity Type:Individual
Prefix:
First Name:AMBERLEY
Middle Name:PAIGE
Last Name:WHALEN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7721 AIRPORT BLVD STE E160
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36608-5052
Mailing Address - Country:US
Mailing Address - Phone:251-931-9420
Mailing Address - Fax:
Practice Address - Street 1:7721 AIRPORT BLVD STE E160
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36608-5052
Practice Address - Country:US
Practice Address - Phone:251-931-9420
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-18
Last Update Date:2022-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2725111NX0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NX0100XChiropractic ProvidersChiropractorOccupational Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL2725OtherNON- MEDICARE PROVIDER