Benke, Robert John
Benke, Robert John is an individual health care provider with primary practice located at 3705 W 12Th St Ste 3C , Greeley CO 80634-2550. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Benke, Robert John can be contacted via phone (970) 356-2120.Contact Information
Primary practice address
3705 W 12Th St Ste 3C
Greeley CO 80634-2550
Phone: (970) 356-2120
Fax: (970) 356-1013
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 105253 | Colorado |
Profile Details
| NPI number | 1477556314 |
|---|---|
| LBN Legal business name | Benke, Robert John |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 24th, 2005 |
| Last updated | Mar 17th, 2018 - about 6 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 | 1477556314 | NPPES |
| Colorado | MEDICAID | 19753543 | |
| Colorado | MEDICAID | 02052538 |
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