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Organization
JOHN A DENNEHY JR DC PC
Active
Organization
JOHN A DENNEHY JR DC PC
Active
Other names
Northport Chiropractic Centre
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN A DENNEHY JR. DC (OWNER)
(573) 221-2001
Entity
Organization
Contact information
Practice address
15 NORTHPORT PLZ, HANNIBAL, MO 63401-2269
(573) 221-2001
(573) 221-3316
Mailing address
15 NORTHPORT PLZ, HANNIBAL, MO 63401-2269
(573) 221-2001
(573) 221-3316
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
005141
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1740390871
NPI
MO
01
—
5580
ANTHEM
MO
Enumeration date
09/09/2010
Last updated
10/19/2010
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