Traci Susanne Pennock in Middletown - Chiropractor
Traci Susanne Pennock - NPI 1922277599
Traci Susanne Pennock is a Chiropractor in Middletown, Ohio. Traci Susanne Pennock practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Traci Susanne Pennock is 1922277599. The last update date is 2023-08-29.
Traci Susanne Pennock's current location address is 6730 Roosevelt Ave Ste 205, Middletown, Ohio. You can contact this provider via phone number 5135970605. The mailing address for Traci Susanne Pennock is 6730 Roosevelt Ave Ste 205, Middletown, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Traci Susanne Pennock |
|---|---|
| Address | 6730 Roosevelt Ave Ste 205, Middletown, Ohio |
| Phone Number | 5135970605 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1922277599 |
|---|---|
| Provider Enumeration Date | 2008-02-27 |
| Last Updated Date | 2023-08-29 |
Provider Mailing Address Detail
| Address | 6730 Roosevelt Ave Ste 205 |
|---|---|
| City | Middletown |
| State | Ohio (OH) |
| Post Code | 450055743 |
| Phone Number | 5135970605 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 3471 |
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Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2852720 | OH | -- |
Post Comment/ Review Below
What is the Traci Susanne Pennock's 1922277599?
The Traci Susanne Pennock's NPI (National Provider Identifier) Number is 1922277599. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Traci Susanne Pennock's facilities are geographically located?
The facilities of Traci Susanne Pennock are physically situated at the following location: 6730 Roosevelt Ave Ste 205, Middletown, OH, 450055743.
What is the Traci Susanne Pennock's area of specialization and corresponding taxonomy classification?
The Traci Susanne Pennock's specialty field is Chiropractor, and it falls under the taxonomy code 111N00000X, which categorizes healthcare providers based on their specialties.
On what date did the Traci Susanne Pennock receive the assignment of its 1922277599 from the Centers for Medicare & Medicaid Services?
The Traci Susanne Pennock was issued its 1922277599 by the Centers for Medicare & Medicaid Services on 2008-02-27.
When was the information pertaining to Traci Susanne Pennock most recently updated or revised?
The details related to Traci Susanne Pennock, including its address, specialty, and other relevant information, were last updated or revised on 2023-08-29.
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