Provider Demographics
NPI:1710178108
Name:BEHNKE, SANDY (BC,DC)
Entity Type:Individual
Prefix:DR
First Name:SANDY
Middle Name:
Last Name:BEHNKE
Suffix:
Gender:F
Credentials:BC,DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:805 S VAN DYKE RD STE A
Mailing Address - Street 2:
Mailing Address - City:BAD AXE
Mailing Address - State:MI
Mailing Address - Zip Code:48413-9655
Mailing Address - Country:US
Mailing Address - Phone:989-550-4402
Mailing Address - Fax:989-623-0889
Practice Address - Street 1:805 S VAN DYKE RD STE A
Practice Address - Street 2:
Practice Address - City:BAD AXE
Practice Address - State:MI
Practice Address - Zip Code:48413-9655
Practice Address - Country:US
Practice Address - Phone:989-550-4402
Practice Address - Fax:989-623-0889
Is Sole Proprietor?:No
Enumeration Date:2007-08-09
Last Update Date:2019-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301009239111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor