Benham, Charles David

Benham, Charles David is an individual health care provider with primary practice located at 120 E Harris Ave , San Angelo TX 76903-5904. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Benham, Charles David can be contacted via phone (325) 657-5222.

Contact Information

Primary practice address
120 E Harris Ave San Angelo TX 76903-5904
Phone: (325) 657-5222
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X H4164 Texas

Profile Details

NPI number 1659342244
LBN Legal business name Benham, Charles David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2006
Last updated Feb 23rd, 2015 - about 11 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 1659342244 NPPES
Texas MEDICAID 133692708

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