Provider Demographics
NPI:1154544609
Name:WHELAN, TERRENCE M (DC)
Entity type:Individual
Prefix:DR
First Name:TERRENCE
Middle Name:M
Last Name:WHELAN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:325 MADISON RD STE A
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:VA
Mailing Address - Zip Code:22960-1129
Mailing Address - Country:US
Mailing Address - Phone:540-672-9350
Mailing Address - Fax:540-672-2070
Practice Address - Street 1:325 MADISON RD STE A
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:VA
Practice Address - Zip Code:22960-1129
Practice Address - Country:US
Practice Address - Phone:540-672-9350
Practice Address - Fax:540-672-2070
Is Sole Proprietor?:No
Enumeration Date:2007-04-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104000799111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor