Provider Demographics
NPI:1396067963
Name:WHALEN, ADAM JAMES (DC)
Entity type:Individual
Prefix:DR
First Name:ADAM
Middle Name:JAMES
Last Name:WHALEN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1090 HREZENT VIEW LN
Mailing Address - Street 2:
Mailing Address - City:WEBSTER
Mailing Address - State:NY
Mailing Address - Zip Code:14580-8973
Mailing Address - Country:US
Mailing Address - Phone:585-750-9615
Mailing Address - Fax:
Practice Address - Street 1:10550 DEERWOOD PARK BLVD STE 609A
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32256-0596
Practice Address - Country:US
Practice Address - Phone:904-513-3954
Practice Address - Fax:904-212-0223
Is Sole Proprietor?:No
Enumeration Date:2010-02-23
Last Update Date:2024-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH9918111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor