Benjamin-Swonger, Mary K

Benjamin-Swonger, Mary K is an individual health care provider with primary practice located at 4915 E Baseline Rd , Gilbert AZ 85234-2965. She recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is her primary health care specialty. Benjamin-Swonger, Mary K can be contacted via phone (419) 230-0991.

Contact Information

Primary practice address
4915 E Baseline Rd Gilbert AZ 85234-2965
Phone: (419) 230-0991
Fax: (480) 505-0750
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 0412 Arizona
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 36002772 Ohio
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 0412 Arizona

Profile Details

NPI number 1134109168
LBN Legal business name Benjamin-Swonger, Mary K
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2006
Last updated Sep 4th, 2020 - about 5 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 1134109168 NPPES
Ohio MEDICAID 0939819
Ohio MEDICAID 1679603724

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