Benak, Edward J

Benak, Edward J is an individual health care provider with primary practice located at 225B Winton M Blount Loop , Montgomery AL 36117-3507. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Benak, Edward J can be contacted via phone (334) 263-6228.

Contact Information

Primary practice address
225B Winton M Blount Loop Montgomery AL 36117-3507
Fax: (334) 265-9136
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 10291 Alabama

Profile Details

NPI number 1376612457
LBN Legal business name Benak, Edward J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 6th, 2006
Last updated Sep 12th, 2012 - about 12 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 1376612457 NPPES
Alabama MEDICAID 000086420

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