Benda, Terrance J

Benda, Terrance J is an individual health care provider with primary practice located at 1626 S Main St , West Bend WI 53095-4936. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Benda, Terrance J can be contacted via phone (262) 334-5137.

Contact Information

Primary practice address
1626 S Main St West Bend WI 53095-4936
Phone: (262) 334-5137
Fax: (262) 334-2009
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 391025 Wisconsin

Profile Details

NPI number 1750354114
LBN Legal business name Benda, Terrance J
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2006
Last updated Apr 22nd, 2008 - about 18 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 1750354114 NPPES
Wisconsin MEDICAID 43206600

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