Organization
DENNIS G RIDENOUR D.C. PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENNIS G RIDENOUR DC (OWNER/CHIROPRACTOR)
(814) 696-3531
Entity
Organization
Contact information
Practice address
1705 N JUNIATA ST., HOLLIDAYSBURG, PA 16648
(814) 696-3531
(814) 696-3534
Mailing address
1705 N JUNIATA ST, HOLLIDAYSBURG, PA 16648
(814) 696-3531
(814) 696-3534
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
2858
CO
111N00000X
Chiropractor
Primary
DC001316L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001489379
HIGHMARK BLUE CROSS BLUE
PA
05
—
00645328
—
PA
Enumeration date
03/01/2006
Last updated
03/22/2010
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