Provider Demographics
NPI:1942575667
Name:WHIPKEY, STEPHEN DANIEL
Entity Type:Individual
Prefix:
First Name:STEPHEN
Middle Name:DANIEL
Last Name:WHIPKEY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17210 LANCASTER HWY
Mailing Address - Street 2:SUITE 401
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28277-2024
Mailing Address - Country:US
Mailing Address - Phone:704-332-2930
Mailing Address - Fax:704-752-3808
Practice Address - Street 1:17210 LANCASTER HWY
Practice Address - Street 2:SUITE 401
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28277-2024
Practice Address - Country:US
Practice Address - Phone:704-332-2930
Practice Address - Fax:704-752-3808
Is Sole Proprietor?:No
Enumeration Date:2012-03-13
Last Update Date:2012-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC817237700000X
SC400237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist