Provider Demographics
NPI:1518785872
Name:WHALEN FAMILY CHIROPRACTIC CENTER
Entity type:Organization
Organization Name:WHALEN FAMILY CHIROPRACTIC CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AARON
Authorized Official - Middle Name:
Authorized Official - Last Name:WHALEN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:509-710-9664
Mailing Address - Street 1:100 N MULLAN RD STE 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 STE 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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-26
Last Update Date:2024-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1023871613OtherMASSAGE THERAPIST
WA1063163228OtherMASSAGE THERAPIST
WA1184767766OtherCHIROPRACTOR
WA1760925952OtherMASSAGE THERAPIST