Individual
MICHAEL WHALEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1427 N GREAT NECK RD, VIRGINIA BEACH, VA 23454-1300
(757) 496-3229
Mailing address
1427 N GREAT NECK RD, VIRGINIA BEACH, VA 23454-1300
(757) 496-3229
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104001461
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
117878
ANTHEM
VA
Enumeration date
07/03/2006
Last updated
07/08/2007
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