Individual provider · Type 1 NPI
William T. Whalen Iv, C.O.
Prosthetic/Orthotic Supplier · Kenosha, WI
Practice location
5027 Green Bay Rd, Suite 124
Kenosha, WI 53144-1771
Fax (262) 654-4305
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Prosthetic/Orthotic Supplier Primary | 335E00000X | 213000315 (IL) |
Prosthetic/Orthotic Supplier: An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
6 other providers at this address
- Berglund Chiropractic Clinic SCPrimary Care Clinic/Center Kenosha, WI NPI 1669682282
- Reichert & Kelsey Prosthetics Orthotics LLCProsthetic/Orthotic Supplier Kenosha, WI NPI 1508862129
- Brandy L. Stork, H.I.S.Hearing Instrument Specialist Kenosha, WI NPI 1619349883
- Douglas E. Reichert, CPProsthetist Kenosha, WI NPI 1376549980
- Michael David Berglund, DCChiropractor Kenosha, WI NPI 1235247693
- Susan L. Fleuchaus, DCChiropractor Kenosha, WI NPI 1316075377
About NPI 1689091316
William T. Whalen Iv, C.O.'s National Provider Identifier is 1689091316, issued on Mar 19, 2014. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Kenosha, WI. The record was last updated on Mar 19, 2014.