Benitez, John G
Benitez, John G is an individual health care provider with primary practice located at 3551 Roger Brooke Dr , Fort Sam Houston TX 78234-4504. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Medical Toxicology, Allopathic & Osteopathic Physicians / Preventive Medicine/Occupational Environmental Medicine, Allopathic & Osteopathic Physicians / Occupational Medicine. Allopathic & Osteopathic Physicians / Medical Toxicology is his primary health care specialty. Benitez, John G can be contacted via phone (585) 245-3911.Contact Information
Primary practice address
3551 Roger Brooke Dr
Fort Sam Houston TX 78234-4504
Phone: (585) 245-3911
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 219852 | New York |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 19701 | Tennessee |
| Allopathic & Osteopathic Physicians / Medical Toxicology | 207PT0002X | 219852 | New York |
| Allopathic & Osteopathic Physicians / Preventive Medicine/Occupational Environmental Medicine | 2083P0500X | 219852 | New York |
| Allopathic & Osteopathic Physicians / Occupational Medicine | 2083X0100X | 19701 | Tennessee |
| Allopathic & Osteopathic Physicians / Medical Toxicology | 2083T0002X | 19701 | Tennessee |
Profile Details
| NPI number | 1518985746 |
|---|---|
| LBN Legal business name | Benitez, John G |
| Credentials | MD, MPH |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 17th, 2006 |
| Last updated | Sep 15th, 2020 - about 6 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 | 1518985746 | NPPES |
| New York | MEDICAID | 02136010 |
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