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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