Provider Demographics
NPI:1851904643
Name:ANDREA WHEDON-HULBERT D.C. PLLC
Entity Type:Organization
Organization Name:ANDREA WHEDON-HULBERT D.C. PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF CHIROPRACTIC
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:WHEDON-HULBERT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:248-940-0800
Mailing Address - Street 1:751 CHESTNUT ST STE 205
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:MI
Mailing Address - Zip Code:48009-6464
Mailing Address - Country:US
Mailing Address - Phone:248-940-0800
Mailing Address - Fax:248-940-0805
Practice Address - Street 1:751 CHESTNUT ST STE 205
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:MI
Practice Address - Zip Code:48009-6464
Practice Address - Country:US
Practice Address - Phone:248-940-0800
Practice Address - Fax:248-940-0805
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-31
Last Update Date:2020-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1295006146OtherNPI