Provider Demographics
NPI:1932260726
Name:DENNY, SUSAN S (DC)
Entity Type:Individual
Prefix:
First Name:SUSAN
Middle Name:S
Last Name:DENNY
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 1:100 KING STREET
Mailing Address - Street 2:
Mailing Address - City:NORTHAMPTON
Mailing Address - State:MA
Mailing Address - Zip Code:01060
Mailing Address - Country:US
Mailing Address - Phone:413-586-8146
Mailing Address - Fax:413-584-7911
Practice Address - Street 1:100 KING STREET
Practice Address - Street 2:
Practice Address - City:NORTHAMPTON
Practice Address - State:MA
Practice Address - Zip Code:01060
Practice Address - Country:US
Practice Address - Phone:413-586-8146
Practice Address - Fax:413-584-7911
Is Sole Proprietor?:No
Enumeration Date:2006-12-13
Last Update Date:2008-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1667111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1613022OtherMASS HEALTH
351038OtherAMERICAN CHIROPRACTIC NET
742517OtherCONNECTICARE
MAY36169OtherBLUE CROSS BLUE SHIELD
778152OtherTUFTS HEALTH PLAN
351038OtherHARVARD PILGRIM
MA6891OtherBOSTON MEDICAL CENTER HEA
MA1613022Medicaid
2357614OtherAETNA
65048OtherCIGNA HEALTHCARE
351038OtherHARVARD PILGRIM