Benson, Robert Alan

Benson, Robert Alan is an individual health care provider with primary practice located at 731 12Th Ave Nw Ste 103 , Ardmore OK 73401-5762. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Benson, Robert Alan can be contacted via phone (580) 220-6180.

Contact Information

Primary practice address
731 12Th Ave Nw Ste 103 Ardmore OK 73401-5762
Phone: (580) 220-6180
Fax: (580) 226-1120
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 44588 Tennessee
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 116243 Oklahoma

Profile Details

NPI number 1962442954
LBN Legal business name Benson, Robert Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2006
Last updated Jun 6th, 2022 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962442954 NPPES
Oklahoma MEDICAID 200018790A
Oklahoma MEDICAID 193634602

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