Provider Demographics
NPI:1851702237
Name:WHOLE HEALTH CHIROPRACTIC PC
Entity Type:Organization
Organization Name:WHOLE HEALTH CHIROPRACTIC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:BETHANY
Authorized Official - Middle Name:L
Authorized Official - Last Name:CATLIN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:651-459-2000
Mailing Address - Street 1:8617 W POINT DOUGLAS RD S STE 110
Mailing Address - Street 2:
Mailing Address - City:COTTAGE GROVE
Mailing Address - State:MN
Mailing Address - Zip Code:55016-4122
Mailing Address - Country:US
Mailing Address - Phone:612-987-3899
Mailing Address - Fax:612-437-4757
Practice Address - Street 1:8617 W POINT DOUGLAS RD S STE 110
Practice Address - Street 2:
Practice Address - City:COTTAGE GROVE
Practice Address - State:MN
Practice Address - Zip Code:55016-4122
Practice Address - Country:US
Practice Address - Phone:651-459-2000
Practice Address - Fax:612-437-4757
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-19
Last Update Date:2023-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN5544111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty