Provider Demographics
NPI:1912018060
Name:WHALEN CHIROPRACTIC INC
Entity Type:Organization
Organization Name:WHALEN CHIROPRACTIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LENIS
Authorized Official - Middle Name:E
Authorized Official - Last Name:WHALEN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:813-782-6060
Mailing Address - Street 1:38124 NORTH AVE
Mailing Address - Street 2:
Mailing Address - City:ZEPHYRHILLS
Mailing Address - State:FL
Mailing Address - Zip Code:33542-3509
Mailing Address - Country:US
Mailing Address - Phone:813-782-6060
Mailing Address - Fax:813-780-8407
Practice Address - Street 1:38124 NORTH AVE
Practice Address - Street 2:
Practice Address - City:ZEPHYRHILLS
Practice Address - State:FL
Practice Address - Zip Code:33542-3509
Practice Address - Country:US
Practice Address - Phone:813-782-6060
Practice Address - Fax:813-780-8407
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH5433111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty