Benink, Eric H

Benink, Eric H is an individual health care provider with primary practice located at 877 Jefferson Ave , Memphis TN 38103-2807. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Benink, Eric H can be contacted via phone (901) 545-8699.

Contact Information

Primary practice address
877 Jefferson Ave Memphis TN 38103-2807
Phone: (901) 545-8699
Fax: (901) 545-8996
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 036077518 Illinois
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 52241 Tennessee

Profile Details

NPI number 1811925001
LBN Legal business name Benink, Eric H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2006
Last updated Feb 11th, 2015 - about 10 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 1811925001 NPPES
Illinois Other 834340 MEDICARE GROUP PTAN
Illinois Other 553180035 MEDICARE GROUP PTAN
Illinois Other 834340023 MEDICARE GROUP PTAN
Illinois Other 553180 MEDICARE GROUP PTAN
Illinois MEDICAID 36077518 MEDICARE GROUP PTAN

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