Provider Demographics
NPI:1184767766
Name:WHALEN, AARON M (DC)
Entity type:Individual
Prefix:
First Name:AARON
Middle Name:M
Last Name:WHALEN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:DR
Other - First Name:AARON
Other - Middle Name:M
Other - Last Name:WHALEN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:100 N MULLAN RD #103
Mailing Address - Street 2:
Mailing Address - City:SPOKANE VALLEY
Mailing Address - State:WA
Mailing Address - Zip Code:99206-6848
Mailing Address - Country:US
Mailing Address - Phone:509-777-2225
Mailing Address - Fax:509-777-2227
Practice Address - Street 1:100 N MULLAN RD #103
Practice Address - Street 2:
Practice Address - City:SPOKANE VALLEY
Practice Address - State:WA
Practice Address - Zip Code:99206-6848
Practice Address - Country:US
Practice Address - Phone:509-777-2225
Practice Address - Fax:509-777-2227
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-14
Last Update Date:2019-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA3660111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAGAB1407Medicare PIN
WAU79219Medicare UPIN