Benditt, David G

Benditt, David G is an individual health care provider with primary practice located at 1200 Sixth Ave N Centracare Clinic, St Cloud MN 56303-2735. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Benditt, David G can be contacted via phone (320) 252-5131.

Contact Information

Primary practice address
1200 Sixth Ave N Centracare Clinic St Cloud MN 56303-2735
Phone: (320) 252-5131
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 21837 Minnesota
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 21837 Minnesota
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X 21837 Minnesota

Profile Details

NPI number 1073559134
LBN Legal business name Benditt, David G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2006
Last updated Aug 26th, 2010 - about 14 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1073559134 NPPES
Iowa MEDICAID 0998245
Iowa Other 25-00021
Iowa Other HP28844
Iowa Other 1008980
Iowa Other 768020
Iowa MEDICAID 0051561
Iowa Other 100780
Iowa MEDICAID 608268800
Iowa Other 25-24794
Iowa Other 2T128BE

Popular Providers