Provider Demographics
NPI:1790584068
Name:BENNING FAMILY CHIROPRACTIC PLLC
Entity type:Organization
Organization Name:BENNING FAMILY CHIROPRACTIC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:
Authorized Official - Last Name:BENNING
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:707-392-7166
Mailing Address - Street 1:2243 SEVILLA CT
Mailing Address - Street 2:
Mailing Address - City:RICHLAND
Mailing Address - State:WA
Mailing Address - Zip Code:99352-7002
Mailing Address - Country:US
Mailing Address - Phone:208-600-2862
Mailing Address - Fax:
Practice Address - Street 1:1325 AARON DR STE 102
Practice Address - Street 2:
Practice Address - City:RICHLAND
Practice Address - State:WA
Practice Address - Zip Code:99352-4681
Practice Address - Country:US
Practice Address - Phone:509-563-2330
Practice Address - Fax:509-563-2334
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-10
Last Update Date:2025-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center