Benge, Timothy Fred

Benge, Timothy Fred is an individual health care provider with primary practice located at 2880 Commonwealth Dr Unit 418 , Spring Hill TN 37174-3177. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Benge, Timothy Fred can be contacted via phone (615) 614-1708.

Contact Information

Primary practice address
2880 Commonwealth Dr Unit 418 Spring Hill TN 37174-3177
Phone: (615) 614-1708
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 103774 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 3158 Tennessee

Profile Details

NPI number 1386632586
LBN Legal business name Benge, Timothy Fred
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2005
Last updated Jul 21st, 2022 - 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 1386632586 NPPES
North Carolina Other 103774 LICENSE NUMBER

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