Benninghoven, Scott Wald
Benninghoven, Scott Wald is an sole proprietor health care provider with primary practice located at 8833 Monterey Rd Ste F , Gilroy CA 95020-7200. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Benninghoven, Scott Wald can be contacted via phone (408) 848-3799.Contact Information
Primary practice address
8833 Monterey Rd Ste F
Gilroy CA 95020-7200
Phone: (408) 848-3799
Fax: (408) 848-5490
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | G55118 | California |
Profile Details
| NPI number | 1528189651 |
|---|---|
| LBN Legal business name | Benninghoven, Scott Wald |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 3rd, 2007 |
| Last updated | Sep 27th, 2012 - about 14 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 | 1528189651 | NPPES |
| California | MEDICAID | 00G551180 |
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