Provider Demographics
NPI:1477758910
Name:DENNO, DEBORAH JOAN (DC)
Entity Type:Individual
Prefix:DR
First Name:DEBORAH
Middle Name:JOAN
Last Name:DENNO
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6135 S EAGLE COVE DRIVE
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85757
Mailing Address - Country:US
Mailing Address - Phone:573-528-6297
Mailing Address - Fax:
Practice Address - Street 1:6135 S EAGLE COVE DRIVE
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85757-1613
Practice Address - Country:US
Practice Address - Phone:573-528-6297
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-15
Last Update Date:2023-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ8986111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO1812746OtherFIRST HEALTH ID NUMBER
MOU12511Medicare UPIN
MO32269Medicare ID - Type Unspecified