Provider Demographics
NPI:1689845778
Name:BEHNKE, ALISON ANN (DC)
Entity Type:Individual
Prefix:
First Name:ALISON
Middle Name:ANN
Last Name:BEHNKE
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 1:7540 EDINBOROUGH WAY
Mailing Address - Street 2:1313
Mailing Address - City:EDINA
Mailing Address - State:MN
Mailing Address - Zip Code:55435-4770
Mailing Address - Country:US
Mailing Address - Phone:612-756-3293
Mailing Address - Fax:
Practice Address - Street 1:7540 EDINBOROUGH WAY
Practice Address - Street 2:1313
Practice Address - City:EDINA
Practice Address - State:MN
Practice Address - Zip Code:55435-4770
Practice Address - Country:US
Practice Address - Phone:612-756-3293
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-03-17
Last Update Date:2008-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN5044111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor