Bensch, George Wm.

Bensch, George Wm. is an individual health care provider with primary practice located at 4628 Georgetown Pl , Stockton CA 95207-6204. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Bensch, George Wm. can be contacted via phone (209) 478-6177.

Contact Information

Primary practice address
4628 Georgetown Pl Stockton CA 95207-6204
Phone: (209) 478-6177
Fax: (209) 478-6219
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X C034965 California

Profile Details

NPI number 1508839457
LBN Legal business name Bensch, George Wm.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 10th, 2006
Last updated Jul 8th, 2007 - about 18 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 1508839457 NPPES
California MEDICAID 00C349650
California Other ZZZ75721Z

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