MEDICARE: DR. CHRISTOPHER KEITH WHITEMAN D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	08002165A	IN

General Provider Information

NPI Number	:	1003874272
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTOPHER KEITH WHITEMAN D.C.

Provider Business Mailing Address
First Line	:	2525 VENTURA CIR
Second Line	:
City	:	MELBOURNE
State	:	FL
Zip	:	32904-7466
Country	:	US
Telephone Number	:	765-210-0794
Fax Number	:

Provider Business Practice Location Address
First Line	:	2090 SARNO RD
Second Line	:
City	:	MELBOURNE
State	:	FL
Zip	:	32935-3077
Country	:	US
Telephone Number	:	321-608-8888
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/03/2006
Last Update Date	:	11/18/2022

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