Benesch, Mark E

Benesch, Mark E is an individual health care provider with primary practice located at 1454 28Th Ave , Columbus NE 68601-4944. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Benesch, Mark E can be contacted via phone (402) 564-2816.

Contact Information

Primary practice address
1454 28Th Ave Columbus NE 68601-4944
Phone: (402) 564-2816
Fax: (402) 564-1312
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 52300 Nebraska

Profile Details

NPI number 1932101292
LBN Legal business name Benesch, Mark E
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2005
Last updated Jan 11th, 2021 - about 4 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 1932101292 NPPES
Nebraska Other 240471 COVENTRY FOR CCH
Nebraska Other 4319 COVENTRY FOR CCH
Nebraska Other 38702 COVENTRY FOR CCH
Nebraska MEDICAID 47055169400 COVENTRY FOR CCH

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