Timothy Robert Henning, DC DOCTOR OF CHIROPR
Individual provider Active NPI Chiropractor · E Boston, MA
NPI 1235216136 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1235216136
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 1607 (MA)
- Practice address
- 948 Bennington St
E Boston, MA 02128 - Phone
- (617) 569-7700
- Fax
- (617) 569-3173
- NPI assigned
- Nov 1, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1607 | MA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Back & Neck Treatment Center Inc | Chiropractor | Past | Accepting new patients |
| Chiropractic Care Centers, Inc | Past | Accepting new patients | |
| Chiropractic Care Center, LLC | Chiropractor | Past | Accepting new patients |
| Advantage Health & Wellness Inc | Chiropractor | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1607 | MA | Yes |
Addresses
Primary practice location
948 Bennington St
E Boston, MA 02128
Mailing address
948 Bennington St
E Boston, MA 02128
Phone (617) 569-7700
Other providers in E Boston, MA
All providers in E Boston, MA · Chiropractor in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.