Benson, Jonathan D
Benson, Jonathan D is an individual health care provider with primary practice located at 11104 Parkview Circle Dr Ste 310 , Fort Wayne IN 46845-1733. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Benson, Jonathan D can be contacted via phone (260) 266-5230.Contact Information
Primary practice address
11104 Parkview Circle Dr Ste 310
Fort Wayne IN 46845-1733
Phone: (260) 266-5230
Fax: (260) 266-5238
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 01060622A | Indiana |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 44963 | Tennessee |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 01060622A | Indiana |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 01060622A | Indiana |
Profile Details
| NPI number | 1417913492 |
|---|---|
| LBN Legal business name | Benson, Jonathan D |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 26th, 2006 |
| Last updated | Jun 5th, 2023 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417913492 | NPPES |
| Tennessee | Other | 4234546 | BCBS |
| Tennessee | MEDICAID | 200529630 | BCBS |
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