Provider Demographics
NPI:1851317887
Name:DENNING, WILLIAM CARL (DC)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:CARL
Last Name:DENNING
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 1:555 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
Is Sole Proprietor?:No
Enumeration Date:2006-07-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC004028111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA816498OtherFIRST PRIORITY
PA1437574OtherBLUE SHIELD
PA565240RELMedicare ID - Type Unspecified