Provider Demographics
NPI:1972534386
Name:PENNINGTON, C E TODD (DC)
Entity type:Individual
Prefix:
First Name:C E TODD
Middle Name:
Last Name:PENNINGTON
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 3RD AVE
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:OH
Mailing Address - Zip Code:45619-1038
Mailing Address - Country:US
Mailing Address - Phone:740-867-4080
Mailing Address - Fax:740-867-4077
Practice Address - Street 1:601 3RD AVE
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:OH
Practice Address - Zip Code:45619-1038
Practice Address - Country:US
Practice Address - Phone:740-867-4080
Practice Address - Fax:740-867-4077
Is Sole Proprietor?:No
Enumeration Date:2006-07-05
Last Update Date:2010-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3731111N00000X
GA006994111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor