Provider Demographics
NPI:1386766764
Name:DENNING HEALTHMALL, P.C.
Entity type:Organization
Organization Name:DENNING HEALTHMALL, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:CARL
Authorized Official - Last Name:DENNING
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:570-450-6824
Mailing Address - Street 1:555 ALTER ST
Mailing Address - Street 2:
Mailing Address - City:HAZLETON
Mailing Address - State:PA
Mailing Address - Zip Code:18201-5062
Mailing Address - Country:US
Mailing Address - Phone:570-450-6824
Mailing Address - Fax:570-450-6020
Practice Address - Street 1:555 ALTER ST
Practice Address - Street 2:
Practice Address - City:HAZLETON
Practice Address - State:PA
Practice Address - Zip Code:18201-5062
Practice Address - Country:US
Practice Address - Phone:570-450-6824
Practice Address - Fax:570-450-6020
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC004028-L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1437574OtherHIGHMARK BLUE SHIELD
PA1437574OtherHIGHMARK BLUE SHIELD