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Contact Information

SHANE D WHITELEY, DC
1400 SE GOLDTREE DR
# 207
PORT SAINT LUCIE, FL34952
 Phone: 772-777-2836
 Fax: 772-777-2837
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for SHANE D WHITELEY · (Male)

NPI Number 1003849449
Status Active
Credentials DC (Doctor of Chiropractic)
Entity Individual
Enumeration date 07/09/2006
Last updated 05/16/2013 - About 13 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # DC26258
  • FL License # CH10830
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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