Provider Demographics
NPI:1740421080
Name:DENTON, COLEEN A (DC)
Entity Type:Individual
Prefix:
First Name:COLEEN
Middle Name:A
Last Name:DENTON
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 1:520 E CENTER ST STE A
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:OH
Mailing Address - Zip Code:43302-4261
Mailing Address - Country:US
Mailing Address - Phone:740-387-3185
Mailing Address - Fax:740-387-4238
Practice Address - Street 1:520 E CENTER ST
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:OH
Practice Address - Zip Code:43302-4260
Practice Address - Country:US
Practice Address - Phone:740-387-3185
Practice Address - Fax:740-387-4238
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-17
Last Update Date:2020-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3955111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor