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Organization
BARRY D. PENNEY, DC, INC.
Active
Organization
BARRY D. PENNEY, DC, INC.
Active
Other names
Penney Chiropractic Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BARRY D. PENNEY DC (PRESIDENT/OWNER)
(870) 762-4796
Entity
Organization
Contact information
Practice address
312 N 5TH ST, BLYTHEVILLE, AR 72315-2702
(870) 762-4796
(870) 762-5036
Mailing address
312 N 5TH ST, BLYTHEVILLE, AR 72315-2702
(870) 762-4796
(870) 762-5036
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1445
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06010015700
QUALCHOICE/QCA
AR
01
—
5F169
BLUE CROSS/ BLUE SHIELD
AR
01
—
DE6379
RAILROAD MEDICARE GROUP #
AR
01
—
P00305651
RAILROAD MEDICARE PIN
AR
Enumeration date
10/18/2006
Last updated
08/22/2020
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