Beneson, David Elliott

Beneson, David Elliott is an individual health care provider with primary practice located at 2530 Crooks Rd , Royal Oak MI 48073-3310. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Beneson, David Elliott can be contacted via phone (248) 435-4777.

Contact Information

Primary practice address
2530 Crooks Rd Royal Oak MI 48073-3310
Fax: (248) 435-3374
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X DB001099 Michigan

Profile Details

NPI number 1124060132
LBN Legal business name Beneson, David Elliott
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Oct 23rd, 2009 - about 15 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 1124060132 NPPES
Michigan MEDICAID 2796798

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