Individual
DR. STEVEN PENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
40 MAIN ST., WALPOLE, NH 03608-0478
(603) 756-9644
Mailing address
PO BOX 478, WALPOLE, NH 03608-0478
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
248-1086
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00069039
BCBS-VERMONT PROVIDER NUM
NH
01
—
0272400
ANTHEM PROVIDER #
NH
01
—
050272440NH01
ANTHEM PROVIDER BILLING #
NH
05
—
30003109
—
NH
01
—
PENA0069039
BCBSVT PROVIDER BILLING #
NH
Enumeration date
10/06/2006
Last updated
03/30/2016
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