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:
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Health care specialties

SpecialtyCodeLicense #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 3 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 1417913492 NPPES
Tennessee Other 4234546 BCBS
Tennessee MEDICAID 200529630 BCBS

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