Provider Demographics
NPI:1023082922
Name:RALL, BENJAMIN DAVID (DC)
Entity type:Individual
Prefix:DR
First Name:BENJAMIN
Middle Name:DAVID
Last Name:RALL
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 1:224 N PHILLIPS AVE
Mailing Address - Street 2:SUITE 106
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57104-6063
Mailing Address - Country:US
Mailing Address - Phone:605-330-4100
Mailing Address - Fax:605-330-4101
Practice Address - Street 1:224 N PHILLIPS AVE
Practice Address - Street 2:SUITE 106
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57104-6063
Practice Address - Country:US
Practice Address - Phone:605-330-4100
Practice Address - Fax:605-330-4101
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD1047111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor