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Contact Information

JESSE WHALEN
886 AACHEN AVE NW
PALM BAY, FL32907-9342
 Phone: 321-768-2453
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Environmental Modification

224ZE0001X
Indicates primary specialty

NPI Profile & details for JESSE WHALEN · (Male)

NPI Number 1225464480
Status Active
Credentials
Entity Individual
Enumeration date 09/19/2013
Last updated 09/19/2013 - About 13 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # 307117
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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