Benevento, William Joseph

Benevento, William Joseph is an individual health care provider with primary practice located at 777 Tanglefoot Lane Eye Surgeons Associates Pc, Bettendorf IA 52722-1650. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Benevento, William Joseph can be contacted via phone (563) 323-2020.

Contact Information

Primary practice address
777 Tanglefoot Lane Eye Surgeons Associates Pc Bettendorf IA 52722-1650
Phone: (563) 323-2020
Fax: (563) 328-5694
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 036-088865 Illinois
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 30004 Iowa

Profile Details

NPI number 1134106594
LBN Legal business name Benevento, William Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2005
Last updated Mar 31st, 2021 - about 3 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 1134106594 NPPES
Illinois MEDICAID 036088865
Illinois Other 0060350
Illinois Other 790730
Illinois Other 26568
Illinois MEDICAID 0114074

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