Benner, Douglas A.

Benner, Douglas A. is an individual health care provider with primary practice located at 1950 Franklin St , Oakland CA 94612-5103. He recently has only one registered license in Allopathic & Osteopathic Physicians / Occupational Medicine, which is considered as his primary health care specialty. Benner, Douglas A. can be contacted via phone (510) 987-1000.

Contact Information

Primary practice address
1950 Franklin St Oakland CA 94612-5103
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Occupational Medicine 2083X0100X C35266 California

Profile Details

NPI number 1548346075
LBN Legal business name Benner, Douglas A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2006
Last updated Jul 8th, 2007 - about 17 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 1548346075 NPPES
California MEDICAID 00C352660

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