Benson, Robert J

Benson, Robert J is an individual health care provider with primary practice located at 4605 Maccorkle Avenue Sw , South Charleston WV 25309. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Benson, Robert J can be contacted via phone (304) 766-3589.

Contact Information

Primary practice address
4605 Maccorkle Avenue Sw South Charleston WV 25309
Phone: (304) 766-3589
Fax: (304) 766-3793
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X WV002427 West Virginia

Profile Details

NPI number 1235291980
LBN Legal business name Benson, Robert J
Credentials PT, OCS
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2006
Last updated Feb 5th, 2008 - about 17 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 1235291980 NPPES
West Virginia Other 7808579 AETNA
West Virginia Other 31150445300 AETNA
West Virginia MEDICAID 3810000-760 AETNA
West Virginia Other 1714911 AETNA

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