Benner, Thomas Patrick

Benner, Thomas Patrick is an sole proprietor health care provider with primary practice located at 8950 Rte 108 Suite 235, Columbia MD 21045-2273. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Benner, Thomas Patrick can be contacted via phone (443) 812-2758.

Contact Information

Primary practice address
8950 Rte 108 Suite 235 Columbia MD 21045-2273
Phone: (443) 812-2758
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LCA157 Maryland

Profile Details

NPI number 1770629578
LBN Legal business name Benner, Thomas Patrick
Credentials LCADC, MS, MAC, SAP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 29th, 2007
Last updated Jun 24th, 2009 - about 17 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 1770629578 NPPES
Maryland MEDICAID 410405600
Maryland Other LCA157

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