Benson, Brian

Benson, Brian is an individual health care provider with primary practice located at 1108 Port Arthur Ter , Leesville LA 71446-4600. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is his primary health care specialty. Benson, Brian can be contacted via phone (337) 239-1061.

Contact Information

Primary practice address
1108 Port Arthur Ter Leesville LA 71446-4600
Phone: (337) 239-1061
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 326824 Louisiana
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X POD001453 Georgia
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 326864 Louisiana

Profile Details

NPI number 1104350883
LBN Legal business name Benson, Brian
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2017
Last updated Jul 28th, 2021 - about 4 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 1104350883 NPPES
Georgia MEDICAID 003232377A

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