Fair, Benny
Fair, Benny is an sole proprietor health care provider with primary practice located at 2700 Lafayette St Suite 120, Fort Wayne IN 46806-1100. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Fair, Benny can be contacted via phone (260) 458-9953.Contact Information
Primary practice address
2700 Lafayette St Suite 120
Fort Wayne IN 46806-1100
Phone: (260) 458-9953
Fax: (260) 458-9238
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 07000728 | Indiana |
Profile Details
| NPI number | 1295838365 |
|---|---|
| LBN Legal business name | Fair, Benny |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 6th, 2006 |
| Last updated | Apr 17th, 2017 - about 7 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 | 1295838365 | NPPES |
| Other | P00128864 | RR MEDICARE | |
| MEDICAID | 100082090A | RR MEDICARE | |
| Other | 000000331259 | RR MEDICARE |
Popular Providers
-
Jackson, Richard T
7601 W Jefferson Blvd , Fort Wayne IN 46804-4133 -
Robison, Matthew Wayne
7559 W Jefferson Blvd , Fort Wayne IN 46804-4131 -
Worpell, Michael Steven
1234 E Dupont Rd 2 1, Fort Wayne IN 46825-1545 -
Mcmanus, Michael C
5050 N Clinton St , Fort Wayne IN 46825-5886 -
Hilker, Richard M
10323 Dawsons Creek Bldg 10 C, Fort Wayne IN 46825-1910 -
Wysong, David K
3012 E State Blvd , Fort Wayne IN 46805-4737 -
Detommaso, Jonathan
7601 W Jefferson Blvd , Fort Wayne IN 46804-4133 -
Detommaso, Dominick
7601 W Jefferson Blvd , Fort Wayne IN 46804-4133