Provider Demographics
NPI:1558378083
Name:DENNY, JAMES CHRISTIAN (DC)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:CHRISTIAN
Last Name:DENNY
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 1:4 N. WALNUT ST
Mailing Address - Street 2:
Mailing Address - City:PINCKNEYVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:62274-1341
Mailing Address - Country:US
Mailing Address - Phone:618-357-5141
Mailing Address - Fax:
Practice Address - Street 1:4 N. WALNUT ST
Practice Address - Street 2:
Practice Address - City:PINCKNEYVILLE
Practice Address - State:IL
Practice Address - Zip Code:62274-1341
Practice Address - Country:US
Practice Address - Phone:618-357-5141
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-01
Last Update Date:2012-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038009246111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL677017OtherHEALTHLINK ID #
IL07332004OtherBLUE CROSS/ BLUE SHIELD
IL07332004OtherBLUE CROSS/ BLUE SHIELD