Provider Demographics
NPI:1932632551
Name:DAWSON, WHITNEY (DC)
Entity Type:Individual
Prefix:DR
First Name:WHITNEY
Middle Name:
Last Name:DAWSON
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1217 N 6TH AVE
Mailing Address - Street 2:SUITE 4
Mailing Address - City:WINTERSET
Mailing Address - State:IA
Mailing Address - Zip Code:50273-1059
Mailing Address - Country:US
Mailing Address - Phone:712-269-3904
Mailing Address - Fax:
Practice Address - Street 1:1217 N 6TH AVE
Practice Address - Street 2:SUITE 4
Practice Address - City:WINTERSET
Practice Address - State:IA
Practice Address - Zip Code:50273-1059
Practice Address - Country:US
Practice Address - Phone:712-269-3904
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-10
Last Update Date:2017-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA085736111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor