Bengfort, John L.

Bengfort, John L. is an individual health care provider with primary practice located at 175 S Union Blvd Ste 300 , Colorado Springs CO 80910-3126. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Bengfort, John L. can be contacted via phone (719) 365-6363.

Contact Information

Primary practice address
175 S Union Blvd Ste 300 Colorado Springs CO 80910-3126
Phone: (719) 365-6363
Fax: (719) 365-5801
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 21658 Colorado

Profile Details

NPI number 1689713398
LBN Legal business name Bengfort, John L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2007
Last updated Jun 10th, 2008 - about 17 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 1689713398 NPPES
Colorado MEDICAID 52489329

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