So, Peter Benson C
So, Peter Benson C is an individual health care provider with primary practice located at 11104 Parkview Circle Dr Ste 440 , Fort Wayne IN 46845-1672. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. So, Peter Benson C can be contacted via phone (260) 373-9935.Contact Information
Primary practice address
11104 Parkview Circle Dr Ste 440
Fort Wayne IN 46845-1672
Phone: (260) 373-9935
Fax: (260) 373-9926
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 01057994A | Indiana |
Profile Details
NPI number | 1578579793 |
---|---|
LBN Legal business name | So, Peter Benson C |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 31st, 2006 |
Last updated | Oct 17th, 2022 - about 2 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 | 1578579793 | NPPES |
Indiana | MEDICAID | 200455540 | |
Indiana | Other | P00732005 | |
Indiana | Other | 000000604550 |
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