Provider Demographics
NPI:1851473904
Name:WHITTINGTON CHIROPRACTIC PA
Entity Type:Organization
Organization Name:WHITTINGTON CHIROPRACTIC PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:HUGHES
Authorized Official - Last Name:WHITTINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:828-298-0011
Mailing Address - Street 1:PO BOX 19037
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28815-1037
Mailing Address - Country:US
Mailing Address - Phone:828-298-0011
Mailing Address - Fax:828-298-0660
Practice Address - Street 1:801 FAIRVIEW RD
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803-1167
Practice Address - Country:US
Practice Address - Phone:828-298-0011
Practice Address - Fax:828-298-0660
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-19
Last Update Date:2011-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2104111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
08926OtherBCBS
NC7908926Medicaid
2450627AMedicare ID - Type Unspecified