Benton, Casey Raymond
Benton, Casey Raymond is an individual health care provider with primary practice located at 3580 Joseph Siewick Dr Ste 305 , Fairfax VA 22033-1764. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Benton, Casey Raymond can be contacted via phone (703) 648-3266.Contact Information
Primary practice address
3580 Joseph Siewick Dr Ste 305
Fairfax VA 22033-1764
Phone: (703) 648-3266
Fax: (703) 648-3264
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 0101258093 | Virginia |
Profile Details
| NPI number | 1619291531 |
|---|---|
| LBN Legal business name | Benton, Casey Raymond |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 22nd, 2010 |
| Last updated | Aug 25th, 2021 - about 4 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 | 1619291531 | NPPES |
| Virginia | MEDICAID | 1619291531 |
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