Individual
DR. JOHN E WHALEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1326 N MAIN ST, MERIDIAN, ID 83642-1703
(208) 884-3368
(208) 884-3394
Mailing address
1326 N MAIN ST, MERIDIAN, ID 83642-1703
(208) 884-3368
(208) 884-3394
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA-655
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010021800
BLUE SHIELD
ID
01
—
C6558
BLUE CROSS
ID
01
—
CHIA655
LICENSE
ID
Enumeration date
01/09/2006
Last updated
06/07/2011
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