Provider Demographics
NPI:1649469560
Name:WHITMIRE CHIROPRACTIC CARE, L.L.C.
Entity type:Organization
Organization Name:WHITMIRE CHIROPRACTIC CARE, L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:ALLISON
Authorized Official - Last Name:WHITMIRE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:864-288-2136
Mailing Address - Street 1:1272 WOODRUFF RD
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29607-5754
Mailing Address - Country:US
Mailing Address - Phone:864-288-2136
Mailing Address - Fax:864-288-6818
Practice Address - Street 1:1272 WOODRUFF RD
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29607-5754
Practice Address - Country:US
Practice Address - Phone:864-288-2136
Practice Address - Fax:864-288-6818
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-16
Last Update Date:2007-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3235111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty