Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111N00000X | Chiropractor | DC010264 | PA |
Y | 111N00000X | Chiropractor | F1-0000790 | DE |
N | 111NR0400X | Rehabilitation Chiropractor | AJ010063 | PA |
NPI | 1063738995 |
---|---|
Provider Name | Dr. Brett C Wharton |
First Address | Wilmington, DE 19810-4812 |
Second Address | Wilmington, DE 19810-4812 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/04/2010 |
Last Update Date | 27/06/2012 |