Provider Demographics
NPI:1427439504
Name:WHIPPLE, CORTNEE ANNE (DC)
Entity type:Individual
Prefix:MRS
First Name:CORTNEE
Middle Name:ANNE
Last Name:WHIPPLE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:MS
Other - First Name:CORTNEE
Other - Middle Name:ANNE
Other - Last Name:GILLSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1944 NEW SCOTLAND RD # B
Mailing Address - Street 2:
Mailing Address - City:SLINGERLANDS
Mailing Address - State:NY
Mailing Address - Zip Code:12159-3629
Mailing Address - Country:US
Mailing Address - Phone:518-435-1280
Mailing Address - Fax:518-435-1284
Practice Address - Street 1:130 EVERETT RD
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12205-1418
Practice Address - Country:US
Practice Address - Phone:518-435-1280
Practice Address - Fax:518-435-1284
Is Sole Proprietor?:No
Enumeration Date:2015-06-15
Last Update Date:2022-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX012680-1111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor