Benning, Ethan Michael

Benning, Ethan Michael is an sole proprietor health care provider with primary practice located at 3001 Broadmoor Blvd Ne , Rio Rancho NM 87144. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Benning, Ethan Michael can be contacted via phone (505) 994-7000.

Contact Information

Primary practice address
3001 Broadmoor Blvd Ne Rio Rancho NM 87144
Phone: (505) 994-7000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 27993 West Virginia
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Surgery 208600000X MD2019-0664 New Mexico

Profile Details

NPI number 1104168582
LBN Legal business name Benning, Ethan Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 22nd, 2013
Last updated Jul 10th, 2023 - about 2 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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