Benton, Darrell Allan

Benton, Darrell Allan is an individual health care provider with primary practice located at 1112 E Weisgarber Rd Ste 102 , Knoxville TN 37909-2647. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Benton, Darrell Allan can be contacted via phone (865) 558-9862.

Contact Information

Primary practice address
1112 E Weisgarber Rd Ste 102 Knoxville TN 37909-2647
Phone: (865) 558-9862
Fax: (865) 584-3478
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 54462 Tennessee

Profile Details

NPI number 1811280464
LBN Legal business name Benton, Darrell Allan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2011
Last updated Oct 21st, 2022 - about 2 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 1811280464 NPPES
Tennessee MEDICAID Q030855

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