Provider Demographics
NPI:1952476012
Name:WHITNEY, MICHAEL WAYNE (ND, DC)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:WAYNE
Last Name:WHITNEY
Suffix:
Gender:M
Credentials:ND, DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:403 W HASTINGS RD
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99218-2876
Mailing Address - Country:US
Mailing Address - Phone:509-465-5767
Mailing Address - Fax:509-465-3570
Practice Address - Street 1:403 W HASTINGS RD
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99218-2876
Practice Address - Country:US
Practice Address - Phone:509-465-5767
Practice Address - Fax:509-465-3570
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-22
Last Update Date:2010-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACHOOOO2189111N00000X
WANT00000944175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No175F00000XOther Service ProvidersNaturopath
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAAB17444Medicare ID - Type UnspecifiedPROVIDER NUMBER