Benson, Jack Nils

Benson, Jack Nils is an individual health care provider with primary practice located at 19841 N 27Th Ave Suite 201, Phoenix AZ 85027-4005. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Benson, Jack Nils can be contacted via phone (623) 582-6420.

Contact Information

Primary practice address
19841 N 27Th Ave Suite 201 Phoenix AZ 85027-4005
Phone: (623) 582-6420
Fax: (623) 582-6720
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 1521 Arizona

Profile Details

NPI number 1972512655
LBN Legal business name Benson, Jack Nils
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2006
Last updated Jan 4th, 2008 - about 16 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 1972512655 NPPES
Arizona Other AZ0066690 BLUECROSSBLUESHIELDAZ
Arizona Other 1Z0539 BLUECROSSBLUESHIELDAZ
Arizona Other 4316747 BLUECROSSBLUESHIELDAZ
Arizona MEDICAID 246729 BLUECROSSBLUESHIELDAZ

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