Benneson, Berkley H

Benneson, Berkley H is an individual health care provider with primary practice located at 3099 N Civic Center Plz , Scottsdale AZ 85251-6903. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Benneson, Berkley H can be contacted via phone (480) 945-3535.

Contact Information

Primary practice address
3099 N Civic Center Plz Scottsdale AZ 85251-6903
Fax: (480) 994-8179
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 9446 Arizona

Profile Details

NPI number 1871586362
LBN Legal business name Benneson, Berkley H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2005
Last updated Dec 22nd, 2016 - about 8 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 1871586362 NPPES
Arizona MEDICAID 231530

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