Provider Demographics
NPI:1952028433
Name:MACWHINNIE, CALEB MICHEE
Entity type:Individual
Prefix:
First Name:CALEB
Middle Name:MICHEE
Last Name:MACWHINNIE
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 HIAWATHA TRL
Mailing Address - Street 2:
Mailing Address - City:LOCK HAVEN
Mailing Address - State:PA
Mailing Address - Zip Code:17745-7319
Mailing Address - Country:US
Mailing Address - Phone:570-250-2015
Mailing Address - Fax:
Practice Address - Street 1:125 HIAWATHA TRL
Practice Address - Street 2:
Practice Address - City:LOCK HAVEN
Practice Address - State:PA
Practice Address - Zip Code:17745-7319
Practice Address - Country:US
Practice Address - Phone:570-250-2015
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-25
Last Update Date:2025-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer