Benham, Derek Alan

Benham, Derek Alan is an individual health care provider with primary practice located at Psc 482 , Fpo AP 96362. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Military Health Care Provider, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Benham, Derek Alan can be contacted via phone (417) 629-7229.

Contact Information

Primary practice address
Psc 482 Fpo AP 96362
Phone: (417) 629-7229
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Military Health Care Provider 171000000X 0101263734 Virginia
Allopathic & Osteopathic Physicians / Surgery 208600000X 0101263734 Virginia

Profile Details

NPI number 1952752198
LBN Legal business name Benham, Derek Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2016
Last updated Oct 24th, 2023 - about last year

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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