Dr. Shane Donald Whiteley
Chiropractor
1400 Se Goldtree Dr # 207
Port St Lucie
, Florida 34952
Dr. Shane Donald Whiteley
Chiropractor
1400 Se Goldtree Dr # 207
Port St Lucie
, Florida 34952
(772) 777-2837
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About
Features
Specialties
- Chiropractor
Languages spoken
- English
Location
First Address
- Dr. Shane Donald Whiteley
- 1400 Se Goldtree Dr # 207
- Port St. Lucie, FL
- Zip : 34952
- Fax : (772) 777-2837
- Phone : (772) 777-2836
Second Address
- Dr. Shane Donald Whiteley
- 1400 Se Goldtree Dr # 207
- Port St Lucie, FL
- Zip : 34952
- Fax : (772) 777-2837
- Phone : (772) 777-2836
Reviews
FAQs
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What type of doctor is Dr. Shane Donald Whiteley
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Where is Dr. Shane Donald Whiteley ’s practice located?
What is Dr. Shane Donald Whiteley ’s gender?
Is Dr. Shane Donald Whiteley a sole practitioner?
Is Dr. Shane Donald Whiteley accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CH10830 | FL |
| N | 111N00000X | Chiropractor | DC26258 | CA |
National Provider Identifier
| NPI | 1003849449 |
|---|---|
| Provider Name | Dr. Shane Donald Whiteley |
| First Address | Port St. Lucie, FL 34952 |
| Second Address | Port St Lucie, FL 34952 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/07/2006 |
| Last Update Date | 16/05/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| U74557 | (02) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.