Benner, Benjamin G.

Benner, Benjamin G. is an individual health care provider with primary practice located at 6767 S Yale Ave Suite A, Tulsa OK 74136-3302. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Benner, Benjamin G. can be contacted via phone (918) 492-7587.

Contact Information

Primary practice address
6767 S Yale Ave Suite A Tulsa OK 74136-3302
Phone: (918) 492-7587
Fax: (918) 491-3542
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 11695 Oklahoma
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X E0810 Texas

Profile Details

NPI number 1336137967
LBN Legal business name Benner, Benjamin G.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 7th, 2005
Last updated Dec 16th, 2009 - about 16 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 1336137967 NPPES
Oklahoma MEDICAID 100000220A

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