Benton, Erik J

Benton, Erik J is an individual health care provider with primary practice located at 1033 Dr Martin Luther King Jr St N Ste. 108, St Petersburg FL 33701-1547. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Benton, Erik J can be contacted via phone (727) 456-4250.

Contact Information

Primary practice address
1033 Dr Martin Luther King Jr St N Ste. 108 St Petersburg FL 33701-1547
Phone: (727) 456-4250
Fax: (727) 346-1044
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X ME 98831 Florida

Profile Details

NPI number 1336344266
LBN Legal business name Benton, Erik J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2007
Last updated Feb 9th, 2010 - about 15 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 1336344266 NPPES
Florida Other 9325062 AETNA
Florida Other AE726Z AETNA
Florida Other 02170 AETNA
Florida MEDICAID 279205200 AETNA

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