Tegene, Benyam G.
Tegene, Benyam G. is an individual health care provider with primary practice located at 503 North 21St St. , Camp Hill PA 17011-8672. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Tegene, Benyam G. can be contacted via phone (717) 763-2219.Contact Information
Primary practice address
503 North 21St St.
Camp Hill PA 17011-8672
Phone: (717) 763-2219
Fax: (717) 972-4844
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | MD419076 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | MD41976 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | MD419076 | Pennsylvania |
Profile Details
| NPI number | 1477552438 |
|---|---|
| LBN Legal business name | Tegene, Benyam G. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 20th, 2005 |
| Last updated | Sep 29th, 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 | 1477552438 | NPPES |
| Pennsylvania | MEDICAID | 01924338 |
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