Provider Demographics
NPI:1063738995
Name:WHARTON, BRETT C (DC)
Entity type:Individual
Prefix:DR
First Name:BRETT
Middle Name:C
Last Name:WHARTON
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:3411 SILVERSIDE RD
Mailing Address - Street 2:HANBY BUILDING SUITE 102
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19810-4812
Mailing Address - Country:US
Mailing Address - Phone:302-477-1565
Mailing Address - Fax:302-477-1587
Practice Address - Street 1:3411 SILVERSIDE RD
Practice Address - Street 2:HANBY BUILDING SUITE 102
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19810-4812
Practice Address - Country:US
Practice Address - Phone:302-477-1565
Practice Address - Fax:302-477-1587
Is Sole Proprietor?:No
Enumeration Date:2010-04-16
Last Update Date:2012-06-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PADC010264111N00000X
PAAJ010063111NR0400X
DEF1-0000790111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No111NR0400XChiropractic ProvidersChiropractorRehabilitation