Benscoter, Brent Jason

Benscoter, Brent Jason is an individual health care provider with primary practice located at 1111 Exposition Blvd Bldg 700 , Sacramento CA 95815-4314. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Otology & Neurotology. Allopathic & Osteopathic Physicians / Otology & Neurotology is his primary health care specialty. Benscoter, Brent Jason can be contacted via phone (916) 736-3399.

Contact Information

Primary practice address
1111 Exposition Blvd Bldg 700 Sacramento CA 95815-4314
Phone: (916) 736-3399
Fax: (916) 233-4171
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 125053418 Illinois
Allopathic & Osteopathic Physicians / Otology & Neurotology 207YX0901X 4301099963 Michigan
Allopathic & Osteopathic Physicians / Otology & Neurotology 207YX0901X 01073373A Indiana
Allopathic & Osteopathic Physicians / Otology & Neurotology 207YX0901X A150679 California

Profile Details

NPI number 1376703454
LBN Legal business name Benscoter, Brent Jason
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2008
Last updated May 7th, 2020 - about 5 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 1376703454 NPPES
Indiana MEDICAID 201230760

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