Benner, David Cristopher

Benner, David Cristopher is an individual health care provider with primary practice located at 1100 Balsam Ave , Boulder CO 80304-3404. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Emergency. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Benner, David Cristopher can be contacted via phone (303) 440-2001.

Contact Information

Primary practice address
1100 Balsam Ave Boulder CO 80304-3404
Phone: (303) 440-2001
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2965 Colorado
Physician Assistants & Advanced Practice Nursing Providers / Emergency 364SE0003X PA17737 California

Profile Details

NPI number 1538150966
LBN Legal business name Benner, David Cristopher
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2005
Last updated May 9th, 2013 - about 11 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 1538150966 NPPES
California MEDICAID OPA177370
California MEDICAID 36352861

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