Benninger, Thomas W

Benninger, Thomas W is an sole proprietor health care provider with primary practice located at 4121 Dutchmans Ln Suite #101, Louisville KY 40207-4707. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecology, which is considered as his primary health care specialty. Benninger, Thomas W can be contacted via phone (502) 897-2531.

Contact Information

Primary practice address
4121 Dutchmans Ln Suite #101 Louisville KY 40207-4707
Phone: (502) 897-2531
Fax: (502) 896-5863
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X 22073 Kentucky

Profile Details

NPI number 1619979382
LBN Legal business name Benninger, Thomas W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 12th, 2005
Last updated Apr 21st, 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 1619979382 NPPES
Other 50000083 PASSPORT
MEDICAID 64220734 PASSPORT
Other 000000247202 PASSPORT

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