Benson, Stephen Andrew

Benson, Stephen Andrew is an sole proprietor health care provider with primary practice located at 555 Marin St Suite 290, Thousand Oaks CA 91360-4236. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Sports Medicine, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is his primary health care specialty. Benson, Stephen Andrew can be contacted via phone (805) 497-6979.

Contact Information

Primary practice address
555 Marin St Suite 290 Thousand Oaks CA 91360-4236
Phone: (805) 497-6979
Fax: (805) 777-7028
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Sports Medicine 213ES0000X E4426 California
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X E4426 California

Profile Details

NPI number 1508885278
LBN Legal business name Benson, Stephen Andrew
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 19th, 2006
Last updated Jan 30th, 2015 - about 10 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 1508885278 NPPES
California Other W22604A GROUP MEDICARE PIN
California Other W22604 GROUP MEDICARE PIN
California MEDICAID 000E44260 GROUP MEDICARE PIN

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