Benton, John B
Benton, John B is an individual health care provider with primary practice located at 3950 Kresge Way Ste 308 , Louisville KY 40207-4637. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Benton, John B can be contacted via phone (502) 895-8911.Contact Information
Primary practice address
3950 Kresge Way Ste 308
Louisville KY 40207-4637
Phone: (502) 895-8911
Fax: (502) 895-8977
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 41725 | Kentucky |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 41725 | Kentucky |
Profile Details
| NPI number | 1477545754 |
|---|---|
| LBN Legal business name | Benton, John B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 22nd, 2005 |
| Last updated | Jul 21st, 2022 - about 3 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 | 1477545754 | NPPES |
| Indiana | MEDICAID | 200448900 | |
| Indiana | Other | P00049026 | |
| Indiana | Other | 000063095G | |
| Indiana | MEDICAID | 64117005 | |
| Indiana | Other | 000000300382 | |
| Indiana | Other | 000000548736 | |
| Indiana | Other | 352154103 |
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