Provider Demographics
NPI:1336452556
Name:WHELAN, PAUL E (PA-C)
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:E
Last Name:WHELAN
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:BUILDING 677
Mailing Address - Street 2:2-27 INF 3RD BDE 25 ID
Mailing Address - City:SCHOFIELD BARRACKS
Mailing Address - State:HI
Mailing Address - Zip Code:96786
Mailing Address - Country:US
Mailing Address - Phone:808-433-8212
Mailing Address - Fax:808-433-8269
Practice Address - Street 1:BUILDING 677
Practice Address - Street 2:2-27 INF 3RD BDE 25 ID
Practice Address - City:SCHOFIELD BARRACKS
Practice Address - State:HI
Practice Address - Zip Code:96786
Practice Address - Country:US
Practice Address - Phone:808-433-8212
Practice Address - Fax:808-433-8269
Is Sole Proprietor?:No
Enumeration Date:2010-07-16
Last Update Date:2010-07-16
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant