Benjamin, Denis R
Benjamin, Denis R is an individual health care provider with primary practice located at 801 7Th Ave , Fort Worth TX 76104-2733. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, Allopathic & Osteopathic Physicians / Pediatric Pathology. Allopathic & Osteopathic Physicians / Pediatric Pathology is his primary health care specialty. Benjamin, Denis R can be contacted via phone (682) 885-4289.Contact Information
Primary practice address
801 7Th Ave
Fort Worth TX 76104-2733
Phone: (682) 885-4289
Fax: (682) 885-6111
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | K9728 | Texas |
| Allopathic & Osteopathic Physicians / Pediatric Pathology | 207ZP0213X | K9728 | Texas |
Profile Details
| NPI number | 1538171418 |
|---|---|
| LBN Legal business name | Benjamin, Denis R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 12th, 2006 |
| Last updated | Feb 20th, 2009 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538171418 | NPPES |
| Texas | Other | 7308123 | AETNA PIN |
| Texas | Other | 0083EB | AETNA PIN |
| Texas | Other | 108418100 | AETNA PIN |
| Texas | Other | 1750369203 | AETNA PIN |
| Texas | MEDICAID | 140442847 | AETNA PIN |
| Texas | Other | 9110676 | AETNA PIN |
| Texas | MEDICAID | 105722602 | AETNA PIN |
| Texas | Other | 85111Y | AETNA PIN |
| Texas | Other | 124030 | AETNA PIN |
| Texas | Other | 9030385 | AETNA PIN |
| Texas | Other | 10030959 | AETNA PIN |
| Texas | Other | 122646 | AETNA PIN |
| Texas | MEDICAID | 140442895 | AETNA PIN |
| Texas | Other | 800011 | AETNA PIN |
| Texas | MEDICAID | 105722601 | AETNA PIN |
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