Provider Demographics
NPI:1457300378
Name:HENSON, BETH JANELLE (DC)
Entity Type:Individual
Prefix:DR
First Name:BETH
Middle Name:JANELLE
Last Name:HENSON
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 1:330 140 VILLAGE RD
Mailing Address - Street 2:UNIT 9A
Mailing Address - City:WESTMINSTER
Mailing Address - State:MD
Mailing Address - Zip Code:21157-6127
Mailing Address - Country:US
Mailing Address - Phone:410-876-8881
Mailing Address - Fax:410-848-6343
Practice Address - Street 1:330 140 VILLAGE RD
Practice Address - Street 2:UNIT 9A
Practice Address - City:WESTMINSTER
Practice Address - State:MD
Practice Address - Zip Code:21157-6127
Practice Address - Country:US
Practice Address - Phone:410-876-8881
Practice Address - Fax:410-848-6343
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD03472111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor