Benson, Susan Rene
Benson, Susan Rene is an individual health care provider with primary practice located at 128 Medical Park Rd Ste 200, Mooresville NC 28117-8578. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Benson, Susan Rene can be contacted via phone (704) 696-2085.Contact Information
Primary practice address
128 Medical Park Rd Ste 200
Mooresville NC 28117-8578
Phone: (704) 696-2085
Fax: (704) 660-0194
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 200200492 | North Carolina |
Profile Details
| NPI number | 1801888797 |
|---|---|
| LBN Legal business name | Benson, Susan Rene |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 17th, 2005 |
| Last updated | Apr 24th, 2017 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801888797 | NPPES |
| North Carolina | MEDICAID | 89131JF |
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