Benson, Marilee

Benson, Marilee is an individual health care provider with primary practice located at 231 E Chestnut St , Louisville KY 40202-1821. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Radiology, which is considered as her primary health care specialty. Benson, Marilee can be contacted via phone (502) 629-7661.

Contact Information

Primary practice address
231 E Chestnut St Louisville KY 40202-1821
Phone: (502) 629-7661
Fax: (502) 629-5309
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Radiology 2085P0229X 24378 Kentucky

Profile Details

NPI number 1053409508
LBN Legal business name Benson, Marilee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2006
Last updated Oct 29th, 2019 - 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 1053409508 NPPES
Indiana MEDICAID 200221540
Indiana MEDICAID 64243785
Indiana Other 000000545160
Indiana Other 000023029O

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