Benneyworth, Charles E.

Benneyworth, Charles E. is an sole proprietor health care provider with primary practice located at 250 Park St , Bowling Green KY 42101-1760. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Benneyworth, Charles E. can be contacted via phone (270) 745-1626.

Contact Information

Primary practice address
250 Park St Bowling Green KY 42101-1760
Phone: (270) 745-1626
Fax: (270) 842-8722
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 26384 Kentucky
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 26384 Kentucky

Profile Details

NPI number 1972577310
LBN Legal business name Benneyworth, Charles E.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 14th, 2006
Last updated Jul 29th, 2021 - about 3 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 1972577310 NPPES
Kentucky MEDICAID 64263841

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