Provider Demographics
NPI:1588862411
Name:ORANGE CHIROPRACTIC CENTER, INC.
Entity type:Organization
Organization Name:ORANGE CHIROPRACTIC CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER AND CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:TERRENCE
Authorized Official - Middle Name:M
Authorized Official - Last Name:WHELAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:540-672-9350
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104000799111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA=========OtherFED TAX ID NUMBER