Provider Demographics
NPI:1811026503
Name:HENGESTEG, CHRIS ALLEN (DC)
Entity Type:Individual
Prefix:DR
First Name:CHRIS
Middle Name:ALLEN
Last Name:HENGESTEG
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 1:14665 CARLSON ST
Mailing Address - Street 2:
Mailing Address - City:POWAY
Mailing Address - State:CA
Mailing Address - Zip Code:92064-3145
Mailing Address - Country:US
Mailing Address - Phone:588-797-8468
Mailing Address - Fax:
Practice Address - Street 1:14665 CARLSON ST
Practice Address - Street 2:
Practice Address - City:POWAY
Practice Address - State:CA
Practice Address - Zip Code:92064-3145
Practice Address - Country:US
Practice Address - Phone:858-879-7846
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-05
Last Update Date:2022-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC10040111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor