Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. WILLIAM T WHALEN IV, C.O.
Active Sole ProprietorMR. WILLIAM T WHALEN IV, C.O. is a Prosthetic/Orthotic Supplier healthcare provider located in KENOSHA, Wisconsin. NPI 1689091316 is currently active in the NPPES registry. Verify at CMS.
Prosthetic/Orthotic Supplier · KENOSHA, WI
Registration Details
- NPI Number
- 1689091316
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 19, 2014 (12.425746850146 yrs)
- Last Updated
- Mar 19, 2014
- License
-
213000315 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5027 GREEN BAY RDSUITE 124KENOSHA, WI, 531441771Browse WI providers · Browse ZIP 53144
- Phone
- 2626544300
- Fax
- 2626544305
- Primary Specialty
-
Prosthetic/Orthotic Supplier
335E00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.