Benton, Charles Samuel

Benton, Charles Samuel is an individual health care provider with primary practice located at 8200 Georgia St , Merrillville IN 46410-6227. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as his primary health care specialty. Benton, Charles Samuel can be contacted via phone (219) 791-1400.

Contact Information

Primary practice address
8200 Georgia St Merrillville IN 46410-6227
Phone: (219) 791-1400
Fax: (219) 791-1422
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1790082162
LBN Legal business name Benton, Charles Samuel
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2011
Last updated Jan 11th, 2012 - about 12 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.

Request for update

Popular Providers