Benda, Jo A

Benda, Jo A is an individual health care provider with primary practice located at 200 Hawkins Dr , Iowa City IA 52242-1009. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology, which is considered as her primary health care specialty. Benda, Jo A can be contacted via phone (319) 356-4436.

Contact Information

Primary practice address
200 Hawkins Dr Iowa City IA 52242-1009
Phone: (319) 356-4436
Fax: (319) 384-8052
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology 207ZP0101X 20340 Iowa

Profile Details

NPI number 1063400869
LBN Legal business name Benda, Jo A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2005
Last updated Nov 28th, 2007 - about 18 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 1063400869 NPPES
Iowa Other 33927 WELLMARK BCBS
Iowa Other 16962 WELLMARK BCBS
Iowa MEDICAID 0169623 WELLMARK BCBS
Iowa MEDICAID 1169623 WELLMARK BCBS

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