Traci Susanne Pennock, D.C.

Chiropractor · Middletown, OH

Individual Active NPI

NPI number 1922277599

Practice location

6730 Roosevelt Ave Ste 205
Middletown, OH 45005-5743
Phone
(513) 597-0605

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NPI record

NPI
1922277599
Entity type
Individual (Type 1)
Enumeration date
February 27, 2008
Last updated
August 29, 2023
Certified
August 29, 2023
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Chiropractor Primary 111N00000X 3471 OH

About Dr. Pennock

Traci Susanne Pennock, D.C. is a healthcare provider registered in the NPI registry with the primary taxonomy Chiropractor (code 111N00000X). The practice location is 6730 Roosevelt Ave Ste 205, Middletown, OH 45005-5743. The NPI number 1922277599 was assigned on February 27, 2008 and the record was last updated on August 29, 2023.

Dr. Pennock lists a license in the registry: #3471 (OH) for Chiropractor. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Traci Susanne Pennock, D.C.?

The NPI number is 1922277599.

What is the phone number of Dr. Pennock?

The phone number listed for the practice location is (513) 597-0605.

Where is Dr. Pennock located?

6730 Roosevelt Ave Ste 205, Middletown, OH 45005-5743.

What is the taxonomy code for Dr. Pennock?

The primary taxonomy code is 111N00000X – Chiropractor.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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