Provider Demographics
NPI:1558326447
Name:HENNING, BENJAMIN ALLAN (DC)
Entity Type:Individual
Prefix:DR
First Name:BENJAMIN
Middle Name:ALLAN
Last Name:HENNING
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 1:9337 W 75TH ST
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66204-2234
Mailing Address - Country:US
Mailing Address - Phone:913-424-3811
Mailing Address - Fax:913-381-0096
Practice Address - Street 1:9337 W 75TH ST
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66204-2234
Practice Address - Country:US
Practice Address - Phone:913-424-3811
Practice Address - Fax:913-381-0096
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-20
Last Update Date:2012-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS0105490111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor