Benner Medical Group Pa
LBN: Benner Medical Group Pa
Benner Medical Group Pa is an health care organization with primary practice located at 20945 Great Mills Rd Suite 203, Lexington Park MD 20653-4369. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty.
Benner Medical Group Pa can be contacted via phone (301) 866-0080, or through Benner, Charles Myron via phone (301) 866-0080.
Contact Information
Primary practice address
20945 Great Mills Rd Suite 203
Lexington Park MD 20653-4369
Phone: (301) 866-0080
Fax: (301) 866-0010
Website:
Authorized official contact:
Name: Benner, Charles Myron Doctor of Medicine (MD)
Phone: (301) 866-0080
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X |
Profile Details
| NPI number | 1407970809 |
|---|---|
| LBN Legal business name | Benner Medical Group Pa |
| DBA Doing business as | |
| Authorized official | Benner, Charles Myron Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 19th, 2007 |
| Last updated | Dec 2nd, 2008 - about 16 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407970809 | NPPES |
| Maryland | MEDICAID | 468851100 |
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