Provider Demographics
NPI:1871704114
Name:ARNE J. BENSON, D.C., P.A.
Entity type:Organization
Organization Name:ARNE J. BENSON, D.C., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ARNE
Authorized Official - Middle Name:JONATHAN
Authorized Official - Last Name:BENSON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:952-890-2822
Mailing Address - Street 1:13677 LYNN CIR
Mailing Address - Street 2:
Mailing Address - City:SAVAGE
Mailing Address - State:MN
Mailing Address - Zip Code:55378-4012
Mailing Address - Country:US
Mailing Address - Phone:952-890-2822
Mailing Address - Fax:
Practice Address - Street 1:13677 LYNN CIR
Practice Address - Street 2:
Practice Address - City:SAVAGE
Practice Address - State:MN
Practice Address - Zip Code:55378-4012
Practice Address - Country:US
Practice Address - Phone:952-890-2822
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN2134755111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty