Benson, Burton Allan

Benson, Burton Allan is an individual health care provider with primary practice located at 14001 Ridgedale Dr Ste 100 , Minnetonka MN 55305-1781. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Benson, Burton Allan can be contacted via phone (952) 473-0211.

Contact Information

Primary practice address
14001 Ridgedale Dr Ste 100 Minnetonka MN 55305-1781
Phone: (952) 473-0211
Fax: (952) 473-7908
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 29930 Minnesota

Profile Details

NPI number 1063486595
LBN Legal business name Benson, Burton Allan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2006
Last updated Feb 21st, 2018 - 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 1063486595 NPPES
Minnesota MEDICAID 667080600

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