Healthcare Provider Details

I. General information

NPI: 1871411421
Provider Name (Legal Business Name): ALISON ANN HENKE DC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/09/2026
Last Update Date: 07/09/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

562 12TH ST W
DICKINSON ND
58601-3509
US

IV. Provider business mailing address

562 12TH ST W
DICKINSON ND
58601-3509
US

V. Phone/Fax

Practice location:
  • Phone: 701-483-1104
  • Fax:
Mailing address:
  • Phone: 701-483-1104
  • Fax: 701-483-1443

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number1252
License Number StateND

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: