Provider Demographics
NPI:1538869516
Name:WHELCHEL CHIROPRACTIC LLC
Entity type:Organization
Organization Name:WHELCHEL CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:PRICE
Authorized Official - Last Name:WHELCHEL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:575-682-1501
Mailing Address - Street 1:PO BOX 883
Mailing Address - Street 2:
Mailing Address - City:ALAMOGORDO
Mailing Address - State:NM
Mailing Address - Zip Code:88311-0883
Mailing Address - Country:US
Mailing Address - Phone:575-682-1501
Mailing Address - Fax:575-682-1502
Practice Address - Street 1:1315 BURRO AVE
Practice Address - Street 2:
Practice Address - City:CLOUDCROFT
Practice Address - State:NM
Practice Address - Zip Code:88317-7719
Practice Address - Country:US
Practice Address - Phone:575-682-1501
Practice Address - Fax:575-682-1502
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-07
Last Update Date:2024-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty