Healthcare Provider Details

I. General information

NPI: 1093841363
Provider Name (Legal Business Name): WHITNEY ELIZABETH HAMED DC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/23/2007
Last Update Date: 11/19/2024
Certification Date: 11/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1229 WENTZVILLE PKWY STE 201
WENTZVILLE MO
63385-3553
US

IV. Provider business mailing address

111 OFALLON COMMONS DR
O FALLON MO
63368-7931
US

V. Phone/Fax

Practice location:
  • Phone: 636-327-8811
  • Fax:
Mailing address:
  • Phone: 636-978-0970
  • Fax: 636-978-7570

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2006024312
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: