Bensenhaver, Charles Brook

Bensenhaver, Charles Brook is an individual health care provider with primary practice located at 3430 Newburg Rd Ste 210 , Louisville KY 40218-2458. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Bensenhaver, Charles Brook can be contacted via phone (502) 454-8800.

Contact Information

Primary practice address
3430 Newburg Rd Ste 210 Louisville KY 40218-2458
Phone: (502) 454-8800
Fax: (502) 736-0140
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 25215 Kentucky

Profile Details

NPI number 1215031646
LBN Legal business name Bensenhaver, Charles Brook
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2006
Last updated Dec 31st, 2019 - about 6 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 1215031646 NPPES
Kentucky MEDICAID 64018716

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