Benford, Charles A

Benford, Charles A is an individual health care provider with primary practice located at 5888 Ridgewood Rd Suite B, Jackson MS 39211-2644. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Benford, Charles A can be contacted via phone (601) 978-1798.

Contact Information

Primary practice address
5888 Ridgewood Rd Suite B Jackson MS 39211-2644
Phone: (601) 978-1798
Fax: (601) 978-1799
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT0223 Mississippi

Profile Details

NPI number 1780715854
LBN Legal business name Benford, Charles A
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2007
Last updated Nov 13th, 2017 - about 9 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 1780715854 NPPES
Mississippi MEDICAID 05855578
Mississippi Other 640830003

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