Benaglio, Bruce Joseph

Benaglio, Bruce Joseph is an individual health care provider with primary practice located at 14961 W Bell Rd Ste 175, Surprise AZ 85374-3200. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Benaglio, Bruce Joseph can be contacted via phone (623) 242-9830.

Contact Information

Primary practice address
14961 W Bell Rd Ste 175 Surprise AZ 85374-3200
Phone: (623) 242-9830
Fax: (623) 243-6733
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 2752 Arizona

Profile Details

NPI number 1659605921
LBN Legal business name Benaglio, Bruce Joseph
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2009
Last updated Mar 18th, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659605921 NPPES
Arizona MEDICAID 489355

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