Benson, Brian Wayne

Benson, Brian Wayne is an individual health care provider with primary practice located at 707 W Eau Gallie Blvd , Melbourne FL 32935-5958. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Benson, Brian Wayne can be contacted via phone (321) 727-3223.

Contact Information

Primary practice address
707 W Eau Gallie Blvd Melbourne FL 32935-5958
Phone: (321) 727-3223
Fax: (321) 727-9448
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA9102139 Florida

Profile Details

NPI number 1760523393
LBN Legal business name Benson, Brian Wayne
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2007
Last updated Nov 20th, 2014 - about 10 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 1760523393 NPPES
Florida Other DC0018 RAILROAD MEDICARE

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