Benson, Robert W

Benson, Robert W is an individual health care provider with primary practice located at 180 N 5Th St , Ponchatoula LA 70454-2532. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Benson, Robert W can be contacted via phone (985) 370-7768.

Contact Information

Primary practice address
180 N 5Th St Ponchatoula LA 70454-2532
Phone: (985) 370-7768
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 013754 Louisiana

Profile Details

NPI number 1962406843
LBN Legal business name Benson, Robert W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2005
Last updated Dec 1st, 2007 - about 19 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 1962406843 NPPES
Louisiana MEDICAID 1175358

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