MEDICARE: DR. LOVEROUS WHITTAKER II 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	8132	FL
2	111N00000X	Chiropractor	9384	TX

General Provider Information

NPI Number	:	1659426245
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LOVEROUS WHITTAKER II D.C.

Provider Business Mailing Address
First Line	:	1550 E PALESTINE AVE
Second Line	:
City	:	PALESTINE
State	:	TX
Zip	:	75801-7329
Country	:	US
Telephone Number	:	903-729-4325
Fax Number	:	903-729-9672

Provider Business Practice Location Address
First Line	:	1550 E PALESTINE AVE
Second Line	:
City	:	PALESTINE
State	:	TX
Zip	:	75801-7329
Country	:	US
Telephone Number	:	903-729-4325
Fax Number	:	903-729-9672

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

Provider Enumeration Date	:	01/24/2007
Last Update Date	:	09/30/2025

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