Provider Demographics
NPI:1922197375
Name:WHELEN, BARBARA (DC)
Entity Type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:
Last Name:WHELEN
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 1:4133 CASCADE FALLS DR
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34243-4283
Mailing Address - Country:US
Mailing Address - Phone:941-351-4611
Mailing Address - Fax:941-351-4611
Practice Address - Street 1:4133 CASCADE FALLS DR
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34243
Practice Address - Country:US
Practice Address - Phone:631-495-4931
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-12
Last Update Date:2018-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX006680-1111N00000X, 111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYU52445Medicare UPIN
NYX68021Medicare ID - Type Unspecified