Benckendorf, Sandra

Benckendorf, Sandra is an individual health care provider with primary practice located at 59 Page Hill Rd , Berlin NH 03570-3531. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Benckendorf, Sandra can be contacted via phone (603) 752-2900.

Contact Information

Primary practice address
59 Page Hill Rd Berlin NH 03570-3531
Phone: (603) 752-2900
Fax: (603) 752-3727
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036-060813 Illinois
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X 036-060813 Illinois
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 15334 New Hampshire

Profile Details

NPI number 1932299237
LBN Legal business name Benckendorf, Sandra
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 15th, 2006
Last updated Dec 2nd, 2014 - about 10 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 1932299237 NPPES
Illinois MEDICAID 036060813
Illinois MEDICAID 3071951

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