MEDICARE: WHALEN CHIROPRACTIC CLINIC PC

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	2960	CO

General Provider Information

NPI Number	:	1639503048
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WHALEN CHIROPRACTIC CLINIC PC

Provider Business Mailing Address
First Line	:	2850 MCCLELLAND DR.
Second Line	:	SUITE 1900
City	:	FORT COLLINS
State	:	CO
Zip	:	80525
Country	:	US
Telephone Number	:	970-493-7340
Fax Number	:

Provider Business Practice Location Address
First Line	:	2850 MCCLELLAND DR.
Second Line	:	SUITE 1900
City	:	FORT COLLINS
State	:	CO
Zip	:	80525
Country	:	US
Telephone Number	:	970-493-7340
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. MARY A WHALEN
Credential	:	DC
Telephone Number	:	970-493-7340

Provider Enumeration Date	:	08/21/2013
Last Update Date	:	02/17/2026

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