Individual
DENNIS G. RIDENOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
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
Primary
DC001316L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000645328
—
PA
05
—
00645328
—
PA
Enumeration date
03/21/2007
Last updated
03/22/2010
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