Benton, Thomas Henry

Benton, Thomas Henry is an individual health care provider with primary practice located at 1801 E State Route K , West Plains MO 65775-6616. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Medicine, which is considered as his primary health care specialty. Benton, Thomas Henry can be contacted via phone (417) 257-2454.

Contact Information

Primary practice address
1801 E State Route K West Plains MO 65775-6616
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X C5130 Arkansas

Profile Details

NPI number 1174620819
LBN Legal business name Benton, Thomas Henry
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 17th, 2006
Last updated Aug 26th, 2016 - about 8 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 1174620819 NPPES
Arkansas MEDICAID 102262001

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