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
Phone: (417) 257-2454
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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 9 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 | 1174620819 | NPPES |
| Arkansas | MEDICAID | 102262001 |
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