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NPI Code Detail

MEDICARE: DR. DENNIS WAYNE HENSON DC

MEDICARE:  DR. DENNIS WAYNE HENSON  DC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor006272MO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1508852450
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DENNIS WAYNE HENSON DC
Provider Business Mailing Address
First Line : 1601 E 9TH ST
Second Line : SUITE C
City : TRENTON
State : MO
Zip : 64683-2763
Country : US
Telephone Number : 660-359-5900
Fax Number : 660-359-5901
Provider Business Practice Location Address
First Line : 1601 E 9TH ST
Second Line : SUITE C
City : TRENTON
State : MO
Zip : 64683-2763
Country : US
Telephone Number : 660-359-5900
Fax Number : 660-359-5901
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/26/2005
Last Update Date : 10/03/2014

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Directions to “ DR. DENNIS WAYNE HENSON DC” Practice Location

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