Provider Demographics
NPI:1932173911
Name:OIEN, BENJAMIN H
Entity Type:Individual
Prefix:DR
First Name:BENJAMIN
Middle Name:H
Last Name:OIEN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 W 37TH ST
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57105-5601
Mailing Address - Country:US
Mailing Address - Phone:605-274-6436
Mailing Address - Fax:605-275-4111
Practice Address - Street 1:600 W 37TH ST
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57105-5601
Practice Address - Country:US
Practice Address - Phone:605-274-6436
Practice Address - Fax:605-275-4111
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-15
Last Update Date:2013-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD1049111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD100156Medicare ID - Type Unspecified