Individual
JOHN A DENNEHY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC PC
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
—
1356658553
NPI
MO
01
—
5580
BLUE CROSS BLUE SHIELD
MO
Enumeration date
08/30/2006
Last updated
10/19/2010
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