Houston, Benny C

Houston, Benny C is an individual health care provider with primary practice located at 2859 Highway 45 Byp , Jackson TN 38305-3618. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Houston, Benny C can be contacted via phone (731) 660-8360.

Contact Information

Primary practice address
2859 Highway 45 Byp Jackson TN 38305-3618
Phone: (731) 660-8360
Fax: (731) 664-7928
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD20865 Tennessee

Profile Details

NPI number 1578531455
LBN Legal business name Houston, Benny C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2006
Last updated Nov 29th, 2012 - about 12 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 1578531455 NPPES
Tennessee MEDICAID 3055012

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